Organization
TOM WOODWARD LPC COUNSELOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS G WOODWARD LPC (OWNER/OPERATOR)
(907) 252-1839
Entity
Organization
Contact information
Practice address
238 CREST DR, SOLDOTNA, AK 99669-7425
(907) 252-1839
Mailing address
35555 KENAI SPUR HWY, PMB 378, SOLDOTNA, AK 99669-7625
(907) 252-1839
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
717
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
717
LICENSED PROFESSIONAL COUNSELOR
AK
Enumeration date
07/08/2014
Last updated
07/08/2014
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