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Organization
THE OIL GROUP
Active
Organization
THE OIL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DANIEL WOODBURY LCAS, LPCA (OWNER AND LICENSED THERAPIST)
(336) 457-2748
Entity
Organization
Contact information
Practice address
1451 S ELM EUGENE ST STE 2009, GREENSBORO, NC 27406-2200
(336) 457-2748
(336) 464-2544
Mailing address
1451 S ELM EUGENE ST STE 2009, GREENSBORO, NC 27406-2200
(336) 457-2748
(336) 464-2544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20411
NC
101YM0800X
Mental Health Counselor
A13656
NC
101YP2500X
Professional Counselor
Primary
A13656
NC
Other
Enumeration date
05/27/2018
Last updated
05/27/2018
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