Provider Demographics
NPI:1346300340
Name:WOODLAND, DAVID JAMES (LPCC, CRC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JAMES
Last Name:WOODLAND
Suffix:
Gender:M
Credentials:LPCC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 EMBARCADERO STE 400
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-5300
Mailing Address - Country:US
Mailing Address - Phone:510-383-8527
Mailing Address - Fax:510-639-1346
Practice Address - Street 1:2000 EMBARCADERO STE 400
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-5300
Practice Address - Country:US
Practice Address - Phone:510-383-8527
Practice Address - Fax:510-639-1346
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional