Provider Demographics
NPI:1821308776
Name:GODIN, MARGARET M (LPC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:GODIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:GODIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 921
Mailing Address - Street 2:NORTH FORK THERAPEUTIC CENTER
Mailing Address - City:HOTCHKISS
Mailing Address - State:CO
Mailing Address - Zip Code:81419
Mailing Address - Country:US
Mailing Address - Phone:970-872-4218
Mailing Address - Fax:970-872-4298
Practice Address - Street 1:341 W. BRIDGE STREET
Practice Address - Street 2:NORTH FORK THERAPEUTIC CENTER
Practice Address - City:HOTCHKISS
Practice Address - State:CO
Practice Address - Zip Code:81419
Practice Address - Country:US
Practice Address - Phone:970-872-4218
Practice Address - Fax:970-872-4298
Is Sole Proprietor?:No
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3838101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional