Individual provider · Type 1 NPI

Keith Woodard

Mental Health Counselor · Manchester, CT

NPI number 1124213327 Active

Practice location

587 E Middle Tpke
Manchester, CT 06040-3731

Fax (860) 645-4132

Mailing address

42 Willowcrest Dr
Windsor, CT 06095-3859

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124213327

Keith Woodard's National Provider Identifier is 1124213327, issued on Sep 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manchester, CT. The record was last updated on Sep 11, 2007.