# CAROL JEAN WOODBURY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912285776
- **Authorized official:** MS. CAROL JEAN WOODBURY M.ED. (PSYCHOTHERAPIST)
- **Authorized official phone:** (952) 767-0539

## Contact information

- **Practice address:** 5200 WILLSON RD, SUITE 309, EDINA, MN 55424-1332
- **Practice address phone:** (952) 767-0539
- **Practice address fax:** (952) 767-0578
- **Mailing address:** 5200 WILLSON RD, SUITE 309, EDINA, MN 55424-1332
- **Mailing address phone:** (952) 767-0539
- **Mailing address fax:** (952) 767-0578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 0274 | MN | Yes |

## Other

- **Enumeration date:** 07/28/2011
- **Last updated:** 07/28/2011