Individual
KATHERINE DIANE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
323 W 2ND ST, WASHINGTON, NC 27889-4801
(252) 975-3111
Mailing address
323 W 2ND ST, WASHINGTON, NC 27889-4801
(252) 975-3111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-13723
NC
Other
Enumeration date
09/19/2015
Last updated
09/19/2015
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