| Doctor Name: | MR. THOMAS GEORGE WOODWARD |
| NPI Number: | 1598999864 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | RC00057346 |
| Business Practice Address: | 238 Crest Dr Soldotna, AK - 996697425 |
| Business Phone Number: | 9072521839 |
| Business Fax Number: | 8664196449 |
| Mailing Address: | 35555 Kenai Spur Hwy, # 378 SOLDOTNA |
| State: | AK |
| Postal Code: | 996697625 |
| Phone Number: | 9072521839 |
| Fax Number: | 8664196449 |
| NPI Enumeration Date: | 05/14/2009 |
| NPI Last Update Date: | 06/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | RC00057346 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |