| Suzanne Godfrey | |
|
2001 S Woodruff Ave Ste 6 Idaho Falls ID 83404-6371 | |
| (208) 529-4673 | |
| (208) 529-4676 |
| Full Name | Suzanne Godfrey |
|---|---|
| Speciality | Counselor |
| Location | 2001 S Woodruff Ave Ste 6, Idaho Falls, Idaho |
| Authorized Official Name and Position | Mardee Harper (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2085294673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Godfrey 2001 S Woodruff Ave Ste 6 Idaho Falls ID 83404-6371 Ph: (208) 529-4673 | Suzanne Godfrey 2001 S Woodruff Ave Ste 6 Idaho Falls ID 83404-6371 Ph: (208) 529-4673 |
| NPI Number | 1982937736 |
|---|---|
| Provider Enumeration Date | 09/11/2009 |
| Last Update Date | 09/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982937736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC-4355 (Idaho) | Primary |
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