Individual
JOHN E. WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
76 TANDBERG TRL UNIT 2A, WINDHAM, ME 04062
(207) 893-8544
(207) 893-8545
Mailing address
76 TANDBERG TRL UNIT 2A, WINDHAM, ME 04062-5205
(207) 893-8544
(207) 893-8545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3703
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881811875
—
ME
Enumeration date
04/19/2007
Last updated
06/28/2018
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