Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLARENCE WILFRED GODDARD, MA LADAC
ActiveMR. CLARENCE WILFRED GODDARD, MA LADAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in ESPANOLA, New Mexico. NPI 1215644141 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · ESPANOLA, NM
Registration Details
- NPI Number
- 1215644141
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2022 (3.7660626165052 yrs)
- Last Updated
- Oct 31, 2022
- License
-
CAD0210951 (NM)
Practice Information
- Address
-
807 CALLE CHAMISALESPANOLA, NM, 875322976Browse NM providers · Browse ZIP 87532
- Phone
- 5053724511
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in ESPANOLA, NM
| Name | Credential | NPI |
|---|---|---|
| LOUISE SANCHEZ | — | 1568551687 |
| MS. CAROL R MARTINEZ | LADAC | 1235362732 |
| MS. JUANITA A WHISENHUNT | LADAC | 1679706170 |
| MRS. DIANE C. ORTIZ | LADAC | 1366675852 |
| WAYNE A SALAZAR | LSAA | 1124351416 |
| SHERRIJEAN M SERNA | LADAC | 1205169596 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.