Individual
MS. REBECCA IRENE WOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1109 MESA BLVD, SUITE D, GRANTS, NM 87020-3038
(505) 287-3773
(505) 287-5011
Mailing address
1109 MESA BLVD, SUITE D, GRANTS, NM 87020-3038
(505) 287-3773
(505) 287-5011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0116971
NM
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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