Individual
MR. JAY SAMUEL WOOLFSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
10400 GRIFFIN ROAD, SUITE 101, COOPER CITY, FL 33328
(954) 436-8326
(954) 433-0603
Mailing address
10400 GRIFFIN ROAD, SUITE 101, COOPER CITY, FL 33328
(954) 436-8326
(954) 433-0603
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH 0954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z7101
BC/BS
FL
Enumeration date
10/02/2006
Last updated
12/03/2010
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