Individual
KRISTIN EVA GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1513 HUNT CREEK DR, MOAB, UT 84532-6103
(435) 210-8725
Mailing address
1513 HUNT CREEK DR, MOAB, UT 84532-6103
(435) 210-8725
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11479117-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11479117-6004
STATE LICENSE
UT
Enumeration date
07/18/2022
Last updated
07/18/2022
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