Individual provider · Type 1 NPI

Mary Woodson, PhD, LCMHC, LCAS

Professional Counselor · Los Angeles, CA

NPI number 1013574854 Active

Practice location

936 S Olive St Apt 625
Los Angeles, CA 90015-3596

Call (919) 670-5894 Map

Mailing address

888 N Alameda St Apt 435
Los Angeles, CA 90012-4254

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1013574854

Mary Woodson, PhD, LCMHC, LCAS's National Provider Identifier is 1013574854, issued on May 28, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 7, 2024.