JESSICA ERIN WALLACE WOODARD

ALBUQUERQUE, NM
NPI1225040777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0158)
Enumeration Date2006-08-13
Last Update Date2007-07-08
Business Address
-- JESSICA ERIN WALLACE WOODARD LPCC, CEAP
4207 SAN ISIDRO ST NW
ALBUQUERQUE, NM 87107-2829
Phone number: 505-249-8174
Mailing Address
-- JESSICA ERIN WALLACE WOODARD LPCC, CEAP
416 CAMINO DEL BOSQUE NW
ALBUQUERQUE, NM 87114-2302
Phone number: 505-249-8174