# BRIAN WOODSIDE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609402957
- **Gender:** Man
- **Credential:** CIP, ICRC-ADC, CAC,

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 806449 | FL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CAC100072 | FL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CET100015 | FL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CRSS100026 | FL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | I0181 | PA | — |

## Other

- **Enumeration date:** 03/18/2020
- **Last updated:** 03/18/2020