Individual
JASON WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
35 BOB BABBS DR, SPENCER, IN 47460-6828
(812) 829-4871
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003343A
IN
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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