Individual provider · Type 1 NPI

Michael Joseph Woodberry, LMHC, CASAC-G, CPP

Mental Health Counselor · Queens Village, NY

NPI number 1306166251 Active

Practice location

11103 207th St
Queens Village, NY 11429-1707

Call (347) 256-2591 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X1054 (NY)
Addiction (Substance Use Disorder) Counselor 101YA0400X12650 (NY)
Mental Health Counselor Primary 101YM0800X005270 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1306166251

Michael Joseph Woodberry, LMHC, CASAC-G, CPP's National Provider Identifier is 1306166251, issued on Jun 2, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Queens Village, NY. The record was last updated on Oct 20, 2015.