Individual
AMY WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 BERGQUIST DR, SUITE 1, LACKLAND A F B, TX 78236-9907
(210) 292-4461
(210) 292-4502
Mailing address
1214 REAWICK DR, SAN ANTONIO, TX 78253-6063
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
111496
—
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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