Colleen Woodard, CDAC-1
Counselor, Addiction (Substance Use Disorder) in Lake Elsinore, CA. Individual provider (NPI-1).
NPI number1154720183
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1154720183
- Entity type
- Individual (NPI-1)
- Name
- Colleen Woodard
- Credential
- CDAC-1
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2014
- Certification date
- Sep 18, 2024
- Last updated
- Sep 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | cica00670319 | CA | Yes |
| 171M00000X | Case Manager/Care Coordinator | CiCA00670319 | CA |
Practice location
31764 Casino Dr Ste 200Lake Elsinore, CA 92530-2312
Phone 909-573-7618
Mailing address
23119 Cottonwood AveMoreno Valley, CA 92553-9661
Phone 951-413-5130 · Fax 951-413-5230
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All 41 Addiction (Substance Use Disorder) Counselor providers in Lake Elsinore · All 1,060 providers in Lake Elsinore
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