Individual
STEPHEN EDWARD WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDIV, LPC, LCAS
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8395
(919) 350-2995
Mailing address
7925 PURFOY RD, FUQUAY VARINA, NC 27526-8937
(919) 557-5840
(919) 557-5835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-20025
NC
101YM0800X
Mental Health Counselor
7992
NC
Other
Enumeration date
11/29/2010
Last updated
02/04/2020
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