Individual
MR. THOMAS MILTON GODWIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCPC, LCADC, CCDC
Contact information
Practice address
650 RITCHIE HWY, SUITE 207, SEVERNA PARK, MD 21146-3916
(410) 315-9350
(410) 315-9353
Mailing address
1032 DEEP CREEK AVE, ARNOLD, MD 21012-1731
(410) 626-7826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA169
MD
101YM0800X
Mental Health Counselor
LCO296
MD
Other
Enumeration date
06/21/2006
Last updated
09/11/2025
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