Individual
MRS. CHRISHANA NICOLE WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 AIRPORT DR STE 260, FARMINGTON, NM 87401-2401
(505) 327-0293
Mailing address
501 AIRPORT DR STE 260, FARMINGTON, NM 87401-2401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0183001
NM
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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