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IRENE WOOD LPC
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1073806949
Individual Registrant: IRENE WOOD LPC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
415 BONAVENTURE RD THUNDERBOLT, GA 31404-3299 US
Tel: 912-790-6526 Fax: --
Tel: 912-790-6526 Fax: --
Contact information for business:
700 COASTAL VILLAGE DRIVE BRUNSWICK, GA 31520-2878 US
Tel: 912-554-8510 Fax: --
Tel: 912-554-8510 Fax: --
Registration Information:
NPI: 1073806949
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | GA | LPC006373 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
