Individual
CAROLYN WOODWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LMHC
Contact information
Practice address
55 KESTREL LN, AMHERST, MA 01002-2840
(413) 253-8129
Mailing address
55 KESTREL LN, AMHERST, MA 01002-2840
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000008947
MA
101YP2500X
Professional Counselor
CC4051
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300881
—
MA
Enumeration date
07/21/2010
Last updated
04/02/2015
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