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ALLEN GERALD WOODHAM RADT1
NPI 1316433089
Counselor - Addiction (Substance Use Disorder) in Vista, CA

Active since July 06, 2018
991 POSTAL WAY APT 4, VISTA, CA 92083(760) 525-2656 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Allen Gerald Woodham Radt1 NPPES

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

ALLEN GERALD WOODHAM RADT1 (NPI 1316433089) is an individual addiction (substance use disorder) provider in Vista, California and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1316433089
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameALLEN GERALD WOODHAMCredential: RADT1
Location Address991 POSTAL WAY APT 4Vista, CA 92083-6932
Mailing Address993 Postal WayVista, CA 92083-6945 · (760) 525-2656
Phone(760) 525-2656
Sole ProprietorYes
Enumeration DateJuly 6, 2018
✔ NPI 1316433089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
991 POSTAL WAY APT 4, Vista, CA 92083
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Allen Woodham's NPI number?

The NPI number for Allen Woodham is 1316433089. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Where is Allen Woodham located?

Allen Woodham practices at 991 Postal Way Apt 4, Vista, CA 92083. The listed phone number is (760) 525-2656.

What is Allen Woodham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Allen Woodham was last updated on July 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.