Individual
MRS. MISTY LEE WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBA, LICSW
Contact information
Practice address
1 KENTON DR STE 200, CHARLESTON, WV 25311-1256
(304) 513-3495
Mailing address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 513-3495
(800) 734-8498
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
BP00946585
WV
104100000X
Social Worker
Primary
DP00946585
WV
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
DP00946585
WV
Other
Enumeration date
12/22/2022
Last updated
04/17/2026
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