Individual
ADRIAN AMADOR GODOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 CABRILLO PARK DR STE 140, SANTA ANA, CA 92701-5012
(626) 434-6014
Mailing address
3462 PATRITTI AVE, BALDWIN PARK, CA 91706-3509
(626) 434-6014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
RBT-18-70494
CA
Other
Enumeration date
11/19/2018
Last updated
09/28/2021
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