| Doctor Name: | MISS NICOLE ELISE WOODMAN |
| NPI Number: | 1659674117 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | LPC-5927 |
| Business Practice Address: | 8147 Chaparral Rd Lonetree, CO - 801243027 |
| Business Phone Number: | 7202525101 |
| Business Fax Number: | |
| Mailing Address: | Po Box 631193, HIGHLANDS RANCH |
| State: | CO |
| Postal Code: | 80163 |
| Phone Number: | 7202525101 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2010 |
| NPI Last Update Date: | 12/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC-5927 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |