Individual
KEVIN WAYNE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 CHINOOK LN, PUEBLO, CO 81001-1851
(719) 543-7115
(719) 543-7104
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0016651
CO
Other
Enumeration date
03/05/2018
Last updated
11/17/2020
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