Individual
LENA RAE WOOTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPCC-S
Contact information
Practice address
602 CHILLICOTHE ST STE M111, PORTSMOUTH, OH 45662-4079
(941) 445-0462
(941) 445-0462
Mailing address
602 CHILLICOTHE ST STE M111, PORTSMOUTH, OH 45662-4079
(941) 445-0462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
E.1700434-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070980800
—
FL
05
—
070980800
—
OH
Enumeration date
01/04/2011
Last updated
05/09/2019
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