Individual
MS. JOAN LISA GODBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1440 GROVE ST, DENVER, CO 80204-2201
(303) 900-8967
Mailing address
1440 GROVE ST, DENVER, CO 80204-2201
(303) 900-8967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0015429
CO
Other
Enumeration date
08/24/2015
Last updated
06/21/2019
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