Individual
HEIDI S WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
W4051 COUNTY ROAD NN, ELKHORN, WI 53121-4338
(262) 741-3200
(262) 741-3217
Mailing address
PO BOX 1005, ELKHORN, WI 53121-1005
(262) 741-3200
(262) 741-3217
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15801-132
WI
104100000X
Social Worker
Primary
5374-125
WI
Other
Enumeration date
11/19/2012
Last updated
09/18/2014
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