Doctor Name: | MRS. CAROLYN WOODARD |
NPI Number: | 1003050840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC004390 |
Business Practice Address: | 688 Walnut St 202 Macon, GA - 312012677 |
Business Phone Number: | 4782543751 |
Business Fax Number: | 4782543752 |
Mailing Address: | 688 Walnut St, 202 MACON |
State: | GA |
Postal Code: | 312012677 |
Phone Number: | 4782543751 |
Fax Number: | 4782543752 |
NPI Enumeration Date: | 04/23/2009 |
NPI Last Update Date: | 04/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC004390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |