Organization
JONATHON GODWIN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHON SETH GODWIN MSW, LCSW (OWNER)
(910) 633-2919
Entity
Organization
Contact information
Practice address
405 CHURCHILL DOWNS DR, ABERDEEN, NC 28315-3655
(910) 633-2919
Mailing address
405 CHURCHILL DOWNS DR, ABERDEEN, NC 28315-3655
(910) 633-2919
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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