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Individual

MR. ERIC WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LCAC

Contact information

Practice address
1803 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220-2339
(317) 726-0777
(317) 726-0779
Mailing address
1803 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220-2339
(317) 726-0777
(317) 726-0779

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000353A
IN

Other

Enumeration date
06/05/2012
Last updated
06/05/2012
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