Individual
MR. RICHARD WOODLAND KOHL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
256 HONEYSUCKLE ROAD, STE 14, DOTHAN, AL 36305
(334) 794-5467
(334) 677-1051
Mailing address
256 HONEYSUCKLE ROAD, STE 14, DOTHAN, AL 36305
(334) 794-5467
(334) 677-1051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCAL1377
AL
101Y00000X
Counselor
MH8530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43923
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/14/2006
Last updated
07/08/2007
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