Individual provider · Type 1 NPI
Lareina Woodham
Mental Health Counselor · Edgewater Park, NJ
NPI number
1730503277
Active
Practice location
1497 Perkins Ln
Edgewater Park, NJ 08010-2207
Mailing address
770 Woodlane Rd
Westampton, NJ 08060-3804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Edgewater Park
About NPI 1730503277
Lareina Woodham's National Provider Identifier is 1730503277, issued on Feb 4, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edgewater Park, NJ. The record was last updated on Feb 4, 2014.