Individual
TAVIA N WOODCOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
475 W HASKELL ST, WINNEMUCCA, NV 89445-6705
(775) 623-6580
(775) 623-6584
Mailing address
727 FAIRVIEW DR, SUITE A, CARSON CITY, NV 89701-5795
(775) 684-5018
(775) 687-1181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6282-S
NV
1041C0700X
Clinical Social Worker
Primary
9658-C
NV
171M00000X
Case Manager/Care Coordinator
6282-S
NV
Other
Enumeration date
03/02/2016
Last updated
11/19/2021
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