Mr Clarence Wilfred Goddard, MA LADAC in Espanola, NM

Mr Clarence Wilfred Goddard, MA LADAC is a Counselor - Addiction (substance Use Disorder) based in Espanola, New Mexico. Mr Clarence Wilfred Goddard is licensed to practice in New Mexico (license number CAD0210951) and his current practice location is 807 Calle Chamisal, Espanola, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 372-4511.

NPI number for Mr Clarence Wilfred Goddard is 1215644141 and his current mailing address is Po Box 1775, Espanola, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215644141.

Contact Information

	Mr Clarence Wilfred Goddard, MA LADAC
	807 Calle Chamisal, Espanola, NM 87532-2976
	(505) 372-4511
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Clarence Wilfred Goddard
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	807 Calle Chamisal, Espanola, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1215644141
Provider Enumeration Date: 10/31/2022
Last Update Date: 10/31/2022

Medical Identifiers

Medical identifiers for Mr Clarence Wilfred Goddard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215644141	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	CAD0210951 (New Mexico)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Clarence Wilfred Goddard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Clarence Wilfred Goddard, MA LADAC Po Box 1775, Espanola, NM 87532-1775 Ph: (505) 423-4617	Mr Clarence Wilfred Goddard, MA LADAC 807 Calle Chamisal, Espanola, NM 87532-2976 Ph: (505) 372-4511

Reviews and Comments

Counselor in Espanola, NM

Cassie Garcia, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1305 Calle De La Merced, Espanola, NM 87532 Phone: 505-747-0081
Simon M Johnson, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Suite H, Espanola, NM 87532 Phone: 505-747-0081
Leann A Murray, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Suite H, Espanola, NM 87532 Phone: 505-747-0081
Peter H Goodwin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1114 Plaza Del Norte, Suite B, Espanola, NM 87532 Phone: 505-753-8933 Fax: 505-753-9811
Ashley Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Espanola, NM 87532 Phone: 505-747-0081
Sara E Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 N Riverside Dr, Espanola, NM 87532 Phone: 505-747-7400
Christopher Alcala, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Espanola, NM 87532 Phone: 505-747-0081

Mr Clarence Wilfred Goddard, MA LADAC - Counselor in Espanola, NM