Doctor Name: | BRIANNA LLYN WOOD |
NPI Number: | 1326404971 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 22443 Se 240th St Suite 202 Maple Valley, WA - 980385898 |
Business Phone Number: | 4253581693 |
Business Fax Number: | |
Mailing Address: | 27407 245th Ave Se, MAPLE VALLEY |
State: | WA |
Postal Code: | 980382001 |
Phone Number: | 4253581693 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2016 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |