Individual
MARY ELIZABETH WOOTEN
Active
Individual
MARY ELIZABETH WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1267
NC
101YM0800X
Mental Health Counselor
3518
NC
101YP2500X
Professional Counselor
Primary
3518
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1387J
BCBSNC
NC
01
—
2206813
CIGNA
NC
05
—
6102226
—
NC
01
—
A9679
MEDCOST
NC
Enumeration date
12/02/2006
Last updated
05/02/2017
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