person
Jessica Erin Wallace Woodard, LPCC,CEAP
Mental Health Counselor in Albuquerque, New Mexico
NPI 1225040777

Jessica Erin Wallace Woodard is a Mental Health Counselor based in Albuquerque, NM and is specialized in Mental Health. Jessica Erin Wallace Woodard practices in Albuquerque, NM and has the professional credentials of LPCC,CEAP. The NPI Number for Jessica Erin Wallace Woodard is 1225040777 and holds a License No. 0158 (New Mexico).

The current practice location address for Jessica Erin Wallace Woodard is 4207 San Isidro St Nw, Albuquerque, NM and can be reached out via phone at 505-249-8174 and via fax at 505-792-0753.

Location: 4207 San Isidro St Nw, Albuquerque, NM, 87114-2302
person
Provider Profile Details
NPI Number
1225040777
Provider Name
Jessica Erin Wallace Woodard
Credential
LPCC,CEAP
Provider Entity Type
Individual
Gender
Female
Address
4207 San Isidro St Nw, Albuquerque, NM, 87114-2302
Phone Number
505-249-8174
Fax Number
505-792-0753
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4207 San Isidro St Nw
City
State
Zip
87107-2829
Phone Number
505-249-8174
Fax Number
505-792-0753
person
Provider Business Mailing Address Details
Address
4207 San Isidro St Nw
City
State
Zip
87107-2829
Phone Number
505-249-8174
Fax Number
505-792-0753
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0158 (New Mexico)
Definition
Definition to come...
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