Individual
DR. BRYANT K WOODFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3636 GEORGIA AVE NW, WASHINGTON, DC 20010-1646
(202) 446-1120
Mailing address
3636 GEORGIA AVE NW, WASHINGTON, DC 20010-1646
(202) 446-1120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LGPC00650
DC
101YP2500X
Professional Counselor
Primary
PRC200001206
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
N/A
—
Enumeration date
06/12/2020
Last updated
02/22/2022
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