Individual
LAUREN ALYSE WOODBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 OCEAN AVE, RAYMOND, WA 98577-3016
(360) 245-7871
Mailing address
354 PONDEROSA LOOP NE, OCEAN SHORES, WA 98569-9512
(360) 581-1281
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
WA
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
11/25/2020
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