Individual
BRENDA GODINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S HARBOR BLVD, LA HABRA, CA 90631-5654
(562) 264-6000
Mailing address
PO BOX 2734, BASSETT, CA 91746-0734
(626) 347-4534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW71874
CA
104100000X
Social Worker
ASW71874
CA
1041C0700X
Clinical Social Worker
Primary
LCSW88306
CA
Other
Enumeration date
08/29/2016
Last updated
05/07/2025
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