Individual
MRS. PEYTON RAE WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11215 HERMITAGE RD STE 204, LITTLE ROCK, AR 72211-3864
(501) 777-5969
Mailing address
11215 HERMITAGE RD STE 204, LITTLE ROCK, AR 72211-3864
(501) 777-5969
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A1902019
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2109010
ARKANSAS BOARD OF EXAMINERS IN COUNSELING
AR
Enumeration date
04/17/2019
Last updated
06/14/2024
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