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General NPI Number Information
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NPI Number | 1508980509
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Entity Type | Individual
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Provider Name | MARVIN ANTHONY GODWIN MA, EDS, LCMHC
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Gender | Male
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Dates
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Enumeration Date | 03/17/2007
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 390 MERRIMON AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-1222
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Country | US
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Telephone | 828-337-4124
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Fax |
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Provider Business Mailing Address
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Address Line | 8 ELKMONT TER
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City | ASHEVILLE
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State | NC
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Zip | 28804-1318
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Country | US
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Telephone | 828-337-4124
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4638
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License Number State | NC
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