Doctor Name: | TERI PINER WOOLARD |
NPI Number: | 1093133605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPCA, NCC |
License Number: | A10763 |
Business Practice Address: | 1311 Goldie St Kill Devil Hills, NC - 279487519 |
Business Phone Number: | 2525644964 |
Business Fax Number: | |
Mailing Address: | 1311 Goldie St, KILL DEVIL HILLS |
State: | NC |
Postal Code: | 279487519 |
Phone Number: | 2525644964 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2014 |
NPI Last Update Date: | 04/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | A10763 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |