JEREMY VERN WOODLIFF LPC NPI 1316616592

NPI Information

NPI: 1316616592
Provider Name: JEREMY VERN WOODLIFF, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
230 PARK ST
WAUTOMA, WI
ZIP 54982
Phone: (920) 787-6550
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Jeremy Vern Woodliff, LPC is a professional counselor in Wautoma, WI. Jeremy Vern Woodliff, LPC NPI is 1316616592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

230 PARK ST
WAUTOMA, WI
ZIP 54982-031
Phone: (920) 787-6550
Fax: (920) 787-0421

The enumeration date for this NPI number is 9/10/2021 and was last updated on 1/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	4018-226	WISCONSIN	No
2	101YP2500X	Counselor	Professional	8752-125	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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