Doctor Name: | MS. SUSAN ELIZABETH WOODARD |
NPI Number: | 1013084524 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3103 |
Business Practice Address: | 368 Clint Norris Rd Boone, NC - 286078843 |
Business Phone Number: | 8282651455 |
Business Fax Number: | 8282651535 |
Mailing Address: | 368 Clint Norris Rd, BOONE |
State: | NC |
Postal Code: | 286078843 |
Phone Number: | 8282651455 |
Fax Number: | 8282651535 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |