Individual
DR. MARY WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCMHC, LCAS
Contact information
Practice address
936 S OLIVE ST APT 625, LOS ANGELES, CA 90015-3596
(919) 670-5894
Mailing address
888 N ALAMEDA ST APT 435, LOS ANGELES, CA 90012-4254
(919) 412-1629
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
07/07/2024
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