Individual
BRENT CHRISTOPHER WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A, PLPC
Contact information
Practice address
3501 PATRICK ST, LAKE CHARLES, LA 70605-1717
(337) 263-2153
Mailing address
901 S VIENNA ST, RUSTON, LA 71270-5829
(318) 255-5020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6384
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600720479
—
LA
Enumeration date
08/11/2015
Last updated
08/12/2015
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