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General NPI Number Information
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NPI Number | 1285152249
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Entity Type | Individual
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Provider Name | CATHERINE MARIE WOODY LPC-A, AADC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 2631 MAIN ST W
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City | ROCK HILL
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State | SC
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Zip | 29732-8919
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Country | US
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Telephone | 803-981-1568
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Fax |
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Provider Business Mailing Address
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Address Line | 4597 LOGGING RD
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City | LANCASTER
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State | SC
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Zip | 29720-7479
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Country | US
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Telephone | 850-496-5529
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 7792
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2107
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7792
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7792
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License Number State | SC
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Taxonomy #6
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 7792
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License Number State | SC
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