Individual
RALPH GODMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
704 EMMET ST, PETOSKEY, MI 49770-2910
(231) 420-0607
Mailing address
704 EMMET ST, PETOSKEY, MI 49770-2910
(231) 347-5511
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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