Individual provider · Type 1 NPI

Colleen Woodard, CDAC-1

Addiction (Substance Use Disorder) Counselor · Lake Elsinore, CA

NPI number 1154720183 Active

Practice location

31764 Casino Dr Ste 200
Lake Elsinore, CA 92530-2312

Call (909) 573-7618 Map

Mailing address

23119 Cottonwood Ave
Moreno Valley, CA 92553-9661

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCICA00670319 (CA)
Case Manager/Care Coordinator 171M00000XCICA00670319 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154720183

Colleen Woodard, CDAC-1's National Provider Identifier is 1154720183, issued on Aug 14, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake Elsinore, CA. The record was last updated on Sep 18, 2024.