Individual
LEA WOODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
1401 MOUNT HAMILTON DR, ANTIOCH, CA 94531-8518
(925) 779-7485
Mailing address
1401 MOUNT HAMILTON DR, ANTIOCH, CA 94531-8518
(925) 779-7485
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/16/2020
Last updated
02/21/2025
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