Provider Demographics
NPI:1336663673
Name:WOOD, CLAUDIA (LPCC)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:WOOD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
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Mailing Address - Street 1:3000 AMES CROSSING RD STE 600
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-2519
Mailing Address - Country:US
Mailing Address - Phone:651-774-0011
Mailing Address - Fax:651-774-0606
Practice Address - Street 1:544 3RD ST NW STE 210
Practice Address - Street 2:
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-1439
Practice Address - Country:US
Practice Address - Phone:612-444-8039
Practice Address - Fax:612-324-7423
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN1428101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1952769739OtherWOOD PSYCHOTHERAPY LLC
MN1336663673Medicaid