| Doctor Name: | KARISSA JOY GODEL |
| NPI Number: | 1033598396 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPCC, LADC |
| License Number: | 304064 |
| Business Practice Address: | 7945 Stone Creek Dr Suite 140 Chanhassen, MN - 553174605 |
| Business Phone Number: | 9529743999 |
| Business Fax Number: | 9529743780 |
| Mailing Address: | 7945 Stone Creek Dr, Suite 140 CHANHASSEN |
| State: | MN |
| Postal Code: | 553174605 |
| Phone Number: | 9529743999 |
| Fax Number: | 9529743780 |
| NPI Enumeration Date: | 05/20/2015 |
| NPI Last Update Date: | 05/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 304064 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |