Individual
ANDREA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCA, CADC
Contact information
Practice address
2301 COVE AVE, LA GRANDE, OR 97850-3906
(541) 962-8800
(541) 963-5272
Mailing address
2301 COVE AVE, LA GRANDE, OR 97850-3906
(541) 962-8800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-23-2330
OR
101YM0800X
Mental Health Counselor
25-QMHP-R-3370
OR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
R10760
OR
Other
Enumeration date
05/26/2022
Last updated
03/04/2026
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