Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1346873957 |
---|---|
Provider Name | Mrs. Caryn Woodard |
First Address | Mechanicsville, VA 23116-2504 |
Second Address | Mechanicsville, VA 23116-2504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2020 |
Last Update Date | 21/02/2020 |