Individual
MR. CHARLES WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC, ICADC
Contact information
Practice address
135 E 38TH ST, ERIE, PA 16504-1559
(814) 860-2794
(814) 860-2110
Mailing address
135 E 38TH ST, ERIE, PA 16504-1559
(814) 860-2794
(814) 860-2110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7022 CERTIFICATION
PA
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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