Individual provider · Type 1 NPI
Brian Woodside, CIP, ICRC-ADC, CAC
Addiction (Substance Use Disorder) Counselor · Loxahatchee, FL
NPI number
1609402957
Active
Practice location
915 Sweetgrass St
Loxahatchee, FL 33470-6127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC100072 (FL) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CET100015 (FL) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CRSS100026 (FL) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | I0181 (PA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 806449 (FL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1609402957
Brian Woodside, CIP, ICRC-ADC, CAC's National Provider Identifier is 1609402957, issued on Mar 18, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Loxahatchee, FL. The record was last updated on Mar 18, 2020.