Individual
MS. KARI L WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LADC
Contact information
Practice address
7010 S YALE AVE STE 215, TULSA, OK 74136-5743
(918) 492-2554
Mailing address
8707 N. 124TH E. AVENUE, OWASSO, OK 74055
(918) 272-4337
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101
LICENSED ALCOHOL DRUG COU
OK
Enumeration date
06/11/2007
Last updated
07/08/2007
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