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NPI Code Detail

MEDICARE: DAVID JAMES WOODLAND LPCC, CRC.

MEDICARE: DAVID JAMES WOODLAND LPCC, CRC.
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
1101YP2500XProfessional Counselor41CA
2101YM0800XMental Health Counselor41CA

General Provider Information

NPI Number : 1346300340
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID JAMES WOODLAND LPCC, CRC.
Provider Business Mailing Address
First Line : 2000 EMBARCADERO STE 400
Second Line :
City : OAKLAND
State : CA
Zip : 94606-5300
Country : US
Telephone Number : 510-383-8527
Fax Number : 510-639-1346
Provider Business Practice Location Address
First Line : 2000 EMBARCADERO STE 400
Second Line :
City : OAKLAND
State : CA
Zip : 94606-5300
Country : US
Telephone Number : 510-383-8527
Fax Number : 510-639-1346
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 02/17/2016

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