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Allen Gerald Woodham, RADT1
Addiction (Substance Use Disorder) Counselor in Vista, California
NPI 1316433089

Allen Gerald Woodham is an Addiction (Substance Use Disorder) Counselor based in Vista, CA and is specialized in Addiction (Substance Use Disorder). Allen Gerald Woodham practices in Vista, CA and has the professional credentials of RADT1. The NPI Number for Allen Gerald Woodham is 1316433089 and holds a License No. (California).

The current practice location address for Allen Gerald Woodham is 991 Postal Way Apt 4, Vista, CA and can be reached out via phone at 760-525-2656.

Location: 991 Postal Way Apt 4, Vista, CA, 92083-6945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316433089
Provider Name
Allen Gerald Woodham
Credential
RADT1
Provider Entity Type
Individual
Gender
Male
Address
991 Postal Way Apt 4, Vista, CA, 92083-6945
Phone Number
760-525-2656
Fax Number
Provider Enumeration Date
07/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
991 Postal Way Apt 4
City
Vista
State
California
Zip
92083-6932
Phone Number
760-525-2656
Fax Number
person
Provider Business Mailing Address Details
Address
991 Postal Way Apt 4
City
Vista
State
California
Zip
92083-6932
Phone Number
760-525-2656
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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