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Individual
JOHN WOODMAN
Active
Individual
JOHN WOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS4523
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC1397
ME
101YM0800X
Mental Health Counselor
CC1372
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322910099
—
ME
Enumeration date
10/02/2006
Last updated
03/08/2010
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