Individual
ELIZABETH WOODMANSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
424 E SOUTHWAY BLVD, KOKOMO, IN 46902
(765) 288-1928
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003116A
IN
101YM0800X
Mental Health Counselor
C 1000556-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300014621
—
IN
Enumeration date
06/12/2012
Last updated
07/24/2018
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