Individual
MS. MARY JO WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2507 MAIN AVE N STE B, TILLAMOOK, OR 97141-9297
(503) 842-1201
(503) 842-0001
Mailing address
2507 MAIN AVE N STE B, TILLAMOOK, OR 97141-9297
(503) 842-1201
(503) 842-0001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1313
OR
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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