Individual
ANNA PEAKE GODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW-CC
Contact information
Practice address
15 SAUNDERS WAY STE 900, WESTBROOK, ME 04092-4836
(207) 878-9663
Mailing address
89 WILD ROSE AVE, SOUTH PORTLAND, ME 04106-6619
(207) 671-1519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC18082
LICENSE
ME
Enumeration date
07/18/2019
Last updated
07/18/2019
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