Jessica Erin Wallace Woodard in Albuquerque - Mental Health
Jessica Erin Wallace Woodard - NPI 1225040777
Jessica Erin Wallace Woodard is a Mental Health in Albuquerque, New Mexico. Jessica Erin Wallace Woodard practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jessica Erin Wallace Woodard is 1225040777. The last update date is 2007-07-08.
Jessica Erin Wallace Woodard's current location address is 416 Camino Del Bosque Nw, Albuquerque, New Mexico. You can contact this provider via phone number 5052498174 and fax number 5057920753. The mailing address for Jessica Erin Wallace Woodard is 416 Camino Del Bosque Nw, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Erin Wallace Woodard |
|---|---|
| Address | 416 Camino Del Bosque Nw, Albuquerque, New Mexico |
| Phone Number | 5052498174 |
| Fax Number | 5057920753 |
| Sole Proprietor | Y |
| Credentials | LPCC, CEAP |
NPI Number Detail
| NPI Number | 1225040777 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 416 Camino Del Bosque Nw |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871142302 |
| Phone Number | 5052498174 |
| Fax Number | 5057920753 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 158 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identification code assigned to Jessica Erin Wallace Woodard by the Centers for Medicare & Medicaid Services?
The Jessica Erin Wallace Woodard has been issued the NPI (National Provider Identifier) 1225040777. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jessica Erin Wallace Woodard's facilities are situated?
The facilities of Jessica Erin Wallace Woodard are physically located at the following address: 416 Camino Del Bosque Nw, Albuquerque, NM, 871142302.
What is Jessica Erin Wallace Woodard's area of expertise and its corresponding taxonomy classification?
The Jessica Erin Wallace Woodard's field of specialization is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1225040777 assigned to Jessica Erin Wallace Woodard?
The Jessica Erin Wallace Woodard was issued its 1225040777 on 2006-08-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jessica Erin Wallace Woodard's details last updated?
The information pertaining to the Jessica Erin Wallace Woodard, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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