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Individual

COLLEEN WOODARD

Active
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Individual

COLLEEN WOODARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDAC-1

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CICA00670319
CA
171M00000X
Case Manager/Care Coordinator
CICA00670319
CA

Other

Enumeration date
08/14/2014
Last updated
09/18/2024
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