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Individual
PATRICK TRAVIS WOODRUFF
Active
Individual
PATRICK TRAVIS WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCMHC, LCAS, CSI
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25275
NC
101YM0800X
Mental Health Counselor
Primary
14792
NC
101YM0800X
Mental Health Counselor
A14792
NC
101YP2500X
Professional Counselor
14792
NC
Other
Enumeration date
03/19/2020
Last updated
07/15/2021
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