# JOHN WOODMAN

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

## Provider details

- **NPI number:** 1790878700
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CCS4523 | ME | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LC1397 | ME | Yes |
| 101YM0800X | Mental Health Counselor | CC1372 | ME | — |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 03/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 322910099 | — | ME |