Individual
ERIC WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Mailing address
PO BOX 650, DEVILS LAKE, ND 58301-0650
(701) 665-2200
(701) 665-2300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1374
ND
104100000X
Social Worker
1518
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012458
BCBS PIN
ND
05
—
054518
—
ND
Enumeration date
06/16/2006
Last updated
07/19/2007
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