Individual
LEAH KAYE GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCI
Contact information
Practice address
7517 CAMERON RD STE 118, AUSTIN, TX 78752-2053
(512) 358-4088
Mailing address
7517 CAMERON RD STE 118, AUSTIN, TX 78752-2053
(512) 358-4088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32171
TX
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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