JONATHAN DANIEL WOODBURY

GREENSBORO, NC
NPI1043645039
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  LPCA-A13656)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  LCAS-20411)
Enumeration Date2013-09-09
Last Update Date2018-06-07
Business Address
JONATHAN DANIEL WOODBURY LCAS,LPCA
1451 S ELM EUGENE ST STE 2009
GREENSBORO, NC 27406
Phone number: 336-457-2748
Mailing Address
JONATHAN DANIEL WOODBURY LCAS,LPCA
1451 S ELM EUGENE ST STE 2009
GREENSBORO, NC 27406-2200
Phone number: 336-457-2748