Individual
MYRTLE GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
3112 BOULDER DR, 315, CEDAR FALLS, IA 50613-5246
(319) 961-1506
Mailing address
3112 BOULDER DR, 315, CEDAR FALLS, IA 50613-5246
(319) 961-1506
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103T00000X
IA
103T00000X
Psychologist
Primary
1912048281
IA
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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