Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Clarence Wilfred Goddard, MALADAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215644141

Mr. Clarence Wilfred Goddard, MALADAC is an Addiction (Substance Use Disorder) Counselor in Espanola, New Mexico. Licensed in New Mexico. Registered with an NPI since 2022.

Licensed in
NM
In the registry since
2022

Practice location Address checks out

807 Calle Chamisal
Espanola, NM 87532-2976
Phone: (505) 372-4511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CAD0210951 (NM)

Record details

NPI number1215644141
Entity typeIndividual (Type 1)
GenderMale
Credentials MALADAC
Sole proprietorNo
NPI enumeratedOctober 31, 2022
Last updated in NPPESOctober 31, 2022
Certification dateOctober 31, 2022

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