Tracey Shandell Godfrey
Counselor, Mental Health in Anchorage, AK. Individual provider (NPI-1).
NPI number1366041063
StatusActive
Last updated in NPPESOct 22, 2020
Details
- NPI
- 1366041063
- Entity type
- Individual (NPI-1)
- Name
- Tracey Shandell Godfrey
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2020
- Certification date
- Oct 22, 2020
- Last updated
- Oct 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
6401 A StAnchorage, AK 99518-1824
Phone 907-570-1592
Mailing address
6401 A StAnchorage, AK 99518-1824
Phone 907-570-1592
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