Individual
MARIAH WILLIAMS WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
401 HOLSTON DR, GREENEVILLE, TN 37743-3127
(423) 639-1104
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
4710
TN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/25/2014
Last updated
11/07/2019
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