| Doctor Name: | DR. GARY LEE WOODS |
| NPI Number: | 1013388800 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., M.A., J.D. |
| License Number: | PCCI2215 |
| Business Practice Address: | 12968 Frederick St Moreno Valley, CA - 925535229 |
| Business Phone Number: | 9512427738 |
| Business Fax Number: | 9512427733 |
| Mailing Address: | 29237 Bent Tree Dr, MURRIETA |
| State: | CA |
| Postal Code: | 925632756 |
| Phone Number: | 9494631111 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2015 |
| NPI Last Update Date: | 10/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PCCI2215 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |