Individual
WILLETTA WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACT
Contact information
Practice address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
Mailing address
3013 OUTLOOK CIR UNIT B, RAPID CITY, SD 57701-5919
(605) 593-1652
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
SD
101YP2500X
Professional Counselor
Primary
LPC20523
SD
Other
Enumeration date
11/04/2016
Last updated
04/04/2024
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