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JESSICA ERIN WALLACE WOODARD LPCC, CEAP
NPI 1225040777
Counselor - Mental Health in Albuquerque, NM

Active since August 13, 2006
4207 SAN ISIDRO ST NW, ALBUQUERQUE, NM 87107(505) 249-8174(505) 792-0753 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Erin Wallace Woodard Lpcc, Ceap NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ERIN WALLACE WOODARD LPCC, CEAP (NPI 1225040777) is an individual mental health provider in Albuquerque, New Mexico, licensed in New Mexico (0158) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1225040777
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA ERIN WALLACE WOODARDCredential: LPCC, CEAP
Location Address4207 SAN ISIDRO ST NWAlbuquerque, NM 87107-2829
Mailing Address416 Camino Del Bosque NwAlbuquerque, NM 87114-2302 · (505) 249-8174 · Fax (505) 792-0753
Phone(505) 249-8174
Fax(505) 792-0753
Sole ProprietorYes
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225040777 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 NM · 0158
4207 SAN ISIDRO ST NW, Albuquerque, NM 87107
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUDITH E. PENTZ MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4207 SAN ISIDRO ST NW
ALBUQUERQUE, NM 87107
Bernalillo County (505) 341-1958

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Wallace Woodard's NPI number?

The NPI number for Jessica Wallace Woodard is 1225040777. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Jessica Wallace Woodard located?

Jessica Wallace Woodard practices at 4207 San Isidro St NW, Albuquerque, NM 87107. The listed phone number is (505) 249-8174.

What is Jessica Wallace Woodard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jessica Wallace Woodard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.