| Doctor Name: | MONICA LYNN GODDARD |
| NPI Number: | 1225283773 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICDC |
| License Number: | 965771 |
| Business Practice Address: | 239 E Warren St Cadiz, OH - 439071180 |
| Business Phone Number: | 7409423812 |
| Business Fax Number: | |
| Mailing Address: | 239 E Warren St, CADIZ |
| State: | OH |
| Postal Code: | 439071180 |
| Phone Number: | 7409423812 |
| Fax Number: | |
| NPI Enumeration Date: | 11/25/2008 |
| NPI Last Update Date: | 11/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 965771 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |