Individual
GODFREY CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
817 N DIXIE HWY, POMPANO BEACH, FL 33060-5621
(954) 785-8285
Mailing address
817 N DIXIE HWY, POMPANO BEACH, FL 33060-5621
(954) 785-8285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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