Individual
EARL PETER GODFREY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 AUBURN AVE, LAFAYETTE, LA 70503-2308
(337) 261-2300
Mailing address
1000 CHINABERRY DR, BOSSIER CITY, LA 71111-2442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
02/11/2025
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