Individual
MONIQUE WOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1448 E CENTER ST STE A1, POCATELLO, ID 83201-4132
(208) 220-6891
Mailing address
1014 W QUINN RD APT 111, POCATELLO, ID 83202-1024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5661475
ID
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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