Individual
BRYAN GODOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2445 W WHITES BRIDGE AVE, FRESNO, CA 93706-1225
(559) 264-5096
Mailing address
3855 N WEST AVE STE 110, FRESNO, CA 93705-2759
(559) 334-6433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1457530222
CA
Other
Enumeration date
01/14/2021
Last updated
08/30/2022
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