Individual
MRS. BRIDGETTE GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA,LCDC
Contact information
Practice address
11500 N W FWY STE 200K, HOUSTON, TX 77092-6541
(713) 907-6667
Mailing address
101 HOLLOW TREE LN APT 13201, HOUSTON, TX 77090-1745
(713) 907-6667
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10588
TX
106H00000X
Marriage & Family Therapist
Primary
201667
TX
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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