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Individual

CAROLYN WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCADC

Contact information

Practice address
60 PROFESSIONAL PARK DR, LOUISA, KY 41230-9644
(606) 638-4332
(606) 329-8195
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
165034
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30610026
KY
05
7100448740
KY
Enumeration date
09/20/2006
Last updated
04/07/2026
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