Individual
MATTHEW WOODLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
770 W RIDGE RD, WYTHEVILLE, VA 24382-1046
(276) 223-3200
(276) 223-0617
Mailing address
770 W RIDGE RD, WYTHEVILLE, VA 24382-1046
(276) 223-3200
(276) 223-0617
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001163
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945298
—
VA
01
—
121165
MHN
VA
01
—
356301
ANTHEM
VA
Enumeration date
06/24/2008
Last updated
02/08/2010
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