Individual
MS. GERALDINE GODBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NBCC, CCMHC
Contact information
Practice address
6387 STONEVIEW LN SW, ATLANTA, GA 30331-8194
(678) 548-5266
Mailing address
6387 STONEVIEW LN SW, ATLANTA, GA 30331-8194
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011844
GA
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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