Individual
MS. TYISHA JOY WOODROFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
12345 PARKLAWN DR, ROCKVILLE, MD 20852-1725
(202) 507-9296
Mailing address
12345 PARKLAWN DR, ROCKVILLE, MD 20852-1725
(202) 507-9296
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC3947
MD
101YM0800X
Mental Health Counselor
LC3947
MD
101YP2500X
Professional Counselor
Primary
LC3947
MD
Other
Enumeration date
12/03/2011
Last updated
05/12/2023
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