Salvadora Ann Godorov, DSW
Peer Specialist in Henderson, NV. Individual provider (NPI-1).
NPI number1992015945
StatusActive
Last updated in NPPESJun 17, 2022
Details
- NPI
- 1992015945
- Entity type
- Individual (NPI-1)
- Name
- Salvadora Ann Godorov
- Credential
- DSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2010
- Certification date
- Jun 17, 2022
- Last updated
- Jun 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103K00000X | Behavior Analyst | – | – |
Practice location
1744 W Horizon Ridge PkwyHenderson, NV 89012-4833
Phone 702-742-3093 · Fax 702-933-9122
Mailing address
290 Sutton Hills PlHenderson, NV 89002-9745
Phone 702-376-2838
Other practice locations
290 Sutton Hills Pl
Henderson, NV 89002-9745
Henderson, NV 89002-9745
Phone 702-376-2838
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