Individual
GABRIELLE GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
2430 PARKMAN RD NW, WARREN, OH 44485-1777
(330) 469-6822
(330) 294-5641
Mailing address
158 W MAIN ST, ANDOVER, OH 44003-9318
(216) 800-8700
(216) 353-4804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.162147
OH
Other
Enumeration date
02/28/2019
Last updated
10/22/2025
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