MEDICARE: RENEE MARIE WOODRING CPC

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	101YP2500X	Professional Counselor	CP5015	NV
2	101YP2500X	Professional Counselor	LH61383215	WA

General Provider Information

NPI Number	:	1518445345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE MARIE WOODRING CPC

Provider Business Mailing Address
First Line	:	2731 ENCHANTED ISLE ST
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-3857
Country	:	US
Telephone Number	:	702-334-3178
Fax Number	:	725-269-1250

Provider Business Practice Location Address
First Line	:	2731 ENCHANTED ISLE ST
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-3857
Country	:	US
Telephone Number	:	702-334-3178
Fax Number	:

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

Provider Enumeration Date	:	08/02/2018
Last Update Date	:	08/10/2023

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Directions to “ RENEE MARIE WOODRING CPC” Practice Location

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