Doctor Name: | MELISSA S WOOD |
NPI Number: | 1538277959 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | 17330 |
Business Practice Address: | 1313 W Washington St Levelland, TX - 793363921 |
Business Phone Number: | 8068979735 |
Business Fax Number: | 8068944712 |
Mailing Address: | 1313 W Washington St, LEVELLAND |
State: | TX |
Postal Code: | 793363921 |
Phone Number: | 8068979735 |
Fax Number: | 8068944712 |
NPI Enumeration Date: | 08/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 17330 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |