Doctor Name: | MRS. RACHEL SUZANNE WOOD |
NPI Number: | 1144569930 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAPC, NCC |
License Number: | APC003295 |
Business Practice Address: | 1009 N Columbia Ave Rincon, GA - 313266828 |
Business Phone Number: | 9125725261 |
Business Fax Number: | 9128260233 |
Mailing Address: | 1009 N Columbia Ave, RINCON |
State: | GA |
Postal Code: | 313266828 |
Phone Number: | 9125725261 |
Fax Number: | 9128260233 |
NPI Enumeration Date: | 02/13/2013 |
NPI Last Update Date: | 02/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | APC003295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |