Individual provider · Type 1 NPI

Kelly Jo Woodside, LCMHC, CRC

Mental Health Counselor · Lebanon, NH

NPI number 1962271734 Active

Practice location

2 W Park St Ste 379
Lebanon, NH 03766-1395

Call (802) 478-0113 Map

Mailing address

2122 Lower Pln
Bradford, VT 05033-8936

Other practice locations

  • 2122 Lower Pln, Bradford, VT 05033-8936 · (802) 222-8028

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Counselor 225C00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962271734

Kelly Jo Woodside, LCMHC, CRC's National Provider Identifier is 1962271734, issued on Dec 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lebanon, NH. The record was last updated on Sep 18, 2026.