Individual
MRS. BECKY R GOUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LASAC
Contact information
Practice address
2400 N CENTRAL AVE STE 400, PHOENIX, AZ 85004-1315
(602) 264-9891
(602) 234-2639
Mailing address
2400 N CENTRAL AVE STE 400, PHOENIX, AZ 85004-1315
(602) 264-9891
(602) 234-2639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC13105
AZ
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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