Woodard, Colleen
Woodard, Colleen is an individual health care provider with primary practice located at 31764 Casino Dr Ste 200 , Lake Elsinore CA 92530-2312. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Woodard, Colleen can be contacted via phone (909) 573-7618.Contact Information
Primary practice address
31764 Casino Dr Ste 200
Lake Elsinore CA 92530-2312
Phone: (909) 573-7618
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CICA00670319 | California |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | CICA00670319 | California |
Profile Details
| NPI number | 1154720183 |
|---|---|
| LBN Legal business name | Woodard, Colleen |
| Credentials | CDAC-1 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2014 |
| Last updated | Sep 18th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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