ALLEN GERALD WOODHAM RADT1 NPI 1316433089

NPI Information

  • NPI: 1316433089
  • Provider Name: ALLEN GERALD WOODHAM, RADT1
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 991 POSTAL WAY APT 4
    VISTA, CA
    ZIP 92083
  • Phone: (760) 525-2656

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NPI Details

Allen Gerald Woodham, RADT1 is an addiction (substance use disorder) counselor in Vista, CA. Allen Gerald Woodham, RADT1 NPI is 1316433089. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

991 POSTAL WAY APT 4
VISTA, CA
ZIP 92083-932
Phone: (760) 525-2656

The enumeration date for this NPI number is 7/6/2018 and was last updated on 7/6/2018.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)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: 3/30/2025

NPI Synchronization or Removal

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