Doctor Name: | ROSANNA M WOOD |
NPI Number: | 1376733980 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 1289 |
Business Practice Address: | 2695 Siler City Glendon Rd Siler City, NC - 273440584 |
Business Phone Number: | 9198100770 |
Business Fax Number: | 9197424131 |
Mailing Address: | Po Box 584, 2695 Siler City-glendon Road SILER CITY |
State: | NC |
Postal Code: | 273440584 |
Phone Number: | 9198100770 |
Fax Number: | 9197424131 |
NPI Enumeration Date: | 07/30/2007 |
NPI Last Update Date: | 09/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1289 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |