| Tom Woodward Lpc Counselor Llc | |
|
238 Crest Dr Soldotna AK 99669-7425 | |
| (907) 252-1839 | |
| Not Available |
| Full Name | Tom Woodward Lpc Counselor Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 238 Crest Dr, Soldotna, Alaska |
| Authorized Official Name and Position | Thomas G Woodward (OWNER/OPERATOR) |
| Authorized Official Contact | 9072521839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Woodward Lpc Counselor Llc 35555 Kenai Spur Hwy Pmb 378 Soldotna AK 99669-7625 Ph: (907) 252-1839 | Tom Woodward Lpc Counselor Llc 238 Crest Dr Soldotna AK 99669-7425 Ph: (907) 252-1839 |
| NPI Number | 1689080947 |
|---|---|
| Provider Enumeration Date | 07/08/2014 |
| Last Update Date | 07/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689080947 | NPI | - | NPPES |
| 717 | Other | AK | LICENSED PROFESSIONAL COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 717 (Alaska) | Primary |
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