Individual
MS. LISA MARIA GODO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
44450 PINETREE DR STE 101, PLYMOUTH, MI 48170-3869
(734) 738-0897
(734) 738-0898
Mailing address
2862 PAGE AVE, ANN ARBOR, MI 48104-6916
(734) 272-6478
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401003103
MI
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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