Individual
JONATHAN DANIEL WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS,LPCA
Contact information
Practice address
1451 S ELM EUGENE ST STE 2009, GREENSBORO, NC 27406
(336) 457-2748
(336) 464-2544
Mailing address
1451 S ELM EUGENE ST STE 2009, GREENSBORO, NC 27406-2200
(336) 457-2748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-20411
NC
101YM0800X
Mental Health Counselor
Primary
LPCA-A13656
NC
Other
Enumeration date
09/09/2013
Last updated
06/07/2018
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