MEDICARE: CORI WOODLAND LPC, LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133NN1002X	Nutrition Education Nutritionist
2	171400000X	Health & Wellness Coach
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	230	CO
4	101YM0800X	Mental Health Counselor	6319	CO
5	374K00000X	Religious Nonmedical Practitioner

General Provider Information

NPI Number	:	1356694939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORI WOODLAND LPC, LAC

Provider Business Mailing Address
First Line	:	3570 E 12TH AVE STE 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-3431
Country	:	US
Telephone Number	:	720-285-7342
Fax Number	:

Provider Business Practice Location Address
First Line	:	3570 E 12TH AVE STE 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-3431
Country	:	US
Telephone Number	:	720-285-7342
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2012
Last Update Date	:	10/14/2025

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