Individual provider · Type 1 NPI

Allen Gerald Woodham, RADT1

Addiction (Substance Use Disorder) Counselor · Vista, CA

NPI number 1316433089 Active

Practice location

991 Postal Way Apt 4
Vista, CA 92083-6932

Call (760) 525-2656 Map

Mailing address

993 Postal Way
Vista, CA 92083-6945

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1316433089

Allen Gerald Woodham, RADT1's National Provider Identifier is 1316433089, issued on Jul 6, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vista, CA. The record was last updated on Jul 6, 2018.