Individual
MR. BERNARD GODFREY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CRADC
Contact information
Practice address
3966 MAX WEICH PL, FLORISSANT, MO 63033-6768
(660) 429-9206
Mailing address
3966 MAX WEICH PL, FLORISSANT, MO 63033-6768
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
12/12/2024
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