Doctor Name: | STEPHANIE WOODS |
NPI Number: | 1306853502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1425 |
Business Practice Address: | 321 Cheyenne Ave Eaton, CO - 806153469 |
Business Phone Number: | 9704022399 |
Business Fax Number: | |
Mailing Address: | 321 Cheyenne Ave, EATON |
State: | CO |
Postal Code: | 806153469 |
Phone Number: | 9704022399 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 04/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |