Individual
MS. LISA RENEE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
25701 W. 12 MILE RD., #202, SOUTHFIELD, MI 48034
(313) 624-5848
Mailing address
25701 W 12 MILE RD APT 202, SOUTHFIELD, MI 48034-1812
(313) 624-5848
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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