Individual provider · Type 1 NPI
Lavell Woodard Jr.
Mental Health Counselor · Palm Bay, FL
NPI number
1306460928
Active
Practice location
4206 Pinewood Dr NE
Palm Bay, FL 32905
Mailing address
400 Country Lane Dr
Cocoa, FL 32926-5383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1306460928
Lavell Woodard Jr.'s National Provider Identifier is 1306460928, issued on May 29, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Palm Bay, FL. The record was last updated on May 29, 2020.