Individual provider · Type 1 NPI

Jip Woudstra, MASTER IN PSY

Addiction (Substance Use Disorder) Counselor · Visalia, CA

NPI number 1366861890 Active

Practice location

1646 S Court St
Visalia, CA 93277-4962

Call (559) 625-8890 Map

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 1366861890

Jip Woudstra, MASTER IN PSY's National Provider Identifier is 1366861890, issued on Apr 14, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Visalia, CA. The record was last updated on Apr 22, 2014.