Individual
SANDRA JEANNE GODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
53 MUIR AVE, BRISTOL, CT 06010-7215
(860) 582-7904
Mailing address
344 WOLCOTT ST, BRISTOL, CT 06010-6427
(860) 805-0775
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3490
CT
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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