person
Mr. Anthony M Woodall, MA,LPC,LCAS
Addiction (Substance Use Disorder) Counselor in Smithfield, North Carolina
NPI 1235178724

Anthony M Woodall is an Addiction (Substance Use Disorder) Counselor based in Smithfield, NC and is specialized in Addiction (Substance Use Disorder). Anthony M Woodall practices in Smithfield, NC and has the professional credentials of MA,LPC,LCAS. The NPI Number for Anthony M Woodall is 1235178724 and holds a License No. 3041 (North Carolina).

The current practice location address for Anthony M Woodall is 111 N 2Nd St, Smithfield, NC and can be reached out via phone at 919-938-0921 and via fax at 919-938-3807.

Location: 111 N 2Nd St, Smithfield, NC, 27577-1835
person
Provider Profile Details
NPI Number
1235178724
Provider Name
Anthony M Woodall
Credential
MA,LPC,LCAS
Provider Entity Type
Individual
Gender
Male
Address
111 N 2Nd St, Smithfield, NC, 27577-1835
Phone Number
919-938-0921
Fax Number
919-938-3807
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1165Y 01 NC 3
577331 01 VALUE OPTION
0177C 01 NC BCBSNC GROUP
2076854 01 NC 2
6102389 05 NC
institution
Provider Business Practice Location Address Details
Address
111 N 2Nd St
City
State
Zip
27577-3933
Phone Number
919-938-0921
Fax Number
919-938-3807
person
Provider Business Mailing Address Details
Address
111 N 2Nd St
City
State
Zip
27577-3933
Phone Number
919-938-0921
Fax Number
919-938-3807
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
632 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3041 (North Carolina)
Definition
Definition to come...
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