Doctor Name: | CAROLYN MCCARTER WOOD |
NPI Number: | 1356637367 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1650 |
Business Practice Address: | 33 Heatherly Dr Candler, NC - 287159557 |
Business Phone Number: | 8287789902 |
Business Fax Number: | 8153617428 |
Mailing Address: | 33 Heatherly Dr, CANDLER |
State: | NC |
Postal Code: | 287159557 |
Phone Number: | 8287789902 |
Fax Number: | 8153617428 |
NPI Enumeration Date: | 06/28/2011 |
NPI Last Update Date: | 09/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1650 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |