Provider Demographics
NPI:1508385931
Name:WOODS, JAMES ALVIE (CADC 1)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ALVIE
Last Name:WOODS
Suffix:
Gender:M
Credentials:CADC 1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 CEDAR ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97448-1881
Mailing Address - Country:US
Mailing Address - Phone:503-383-2649
Mailing Address - Fax:
Practice Address - Street 1:690 CEDAR ST UNIT B
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:OR
Practice Address - Zip Code:97448-1881
Practice Address - Country:US
Practice Address - Phone:503-383-2649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101YA0400X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)