Individual
CAITLIN GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1650 38TH ST STE 100E, BOULDER, CO 80301-2624
(970) 439-0381
Mailing address
1650 38TH ST STE 100E, BOULDER, CO 80301-2624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0017634
CO
Other
Enumeration date
02/09/2022
Last updated
09/01/2022
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