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NPI Code Detail

MEDICARE: DR. DYAZ CHAI GODFREY ED.D., LPC, NCC

MEDICARE:  DR. DYAZ CHAI GODFREY  ED.D., LPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor69132TX

General Provider Information

NPI Number : 1942621982
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DYAZ CHAI GODFREY ED.D., LPC, NCC
Provider Business Mailing Address
First Line : 7619 TEAL RUN DR
Second Line :
City : HOUSTON
State : TX
Zip : 77071-2321
Country : US
Telephone Number : 281-785-1702
Fax Number :
Provider Business Practice Location Address
First Line : 7619 TEAL RUN DR
Second Line :
City : HOUSTON
State : TX
Zip : 77071-2321
Country : US
Telephone Number : 281-785-1702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2013
Last Update Date : 12/18/2013

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Directions to “ DR. DYAZ CHAI GODFREY ED.D., LPC, NCC” Practice Location

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