EDWARD WOODFIN
NPI 1073928479
Counselor - Mental Health in Longmont, CO
Active since June 24, 2014
About Edward Woodfin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD WOODFIN (NPI 1073928479) is an individual mental health provider in Longmont, Colorado, licensed in Colorado (NLC.0013109) and active in the NPI registry since June 2014.
NPPES Registry Identity
NPI1073928479
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEDWARD WOODFIN
Location Address4510 NIWOT RDLongmont, CO 80503-8821
Mailing AddressPo Box 1048Nederland, CO 80466-1048 · (484) 885-3694
Phone(484) 885-3694
Sole ProprietorYes
Enumeration DateJune 24, 2014
✔ NPI 1073928479 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · NLC.0013109
4510 NIWOT RD, Longmont, CO 80503
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073928479, enumerated as an "individual" on June 24, 2014.
The provider is located at 4510 NIWOT RD LONGMONT, CO 80503 and the phone number is (484) 885-3694.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.