Individual
MYRA WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 BARRET AVE, LOUISVILLE, KY 40204-1667
(502) 451-1221
(502) 452-1337
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
165152
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
12/09/2016
Last updated
09/10/2019
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