| Doctor Name: | CAROL ANN WOOD |
| NPI Number: | 1073894440 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MFT |
| License Number: | 35228 |
| Business Practice Address: | 2723 Crow Canyon Rd Suite 209-b San Ramon, CA - 945831583 |
| Business Phone Number: | 9257858402 |
| Business Fax Number: | 9258309008 |
| Mailing Address: | 2723 Crow Canyon Rd, Suite 209-b SAN RAMON |
| State: | CA |
| Postal Code: | 945831583 |
| Phone Number: | 9257858402 |
| Fax Number: | 9258309495 |
| NPI Enumeration Date: | 08/30/2011 |
| NPI Last Update Date: | 08/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 35228 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |