Individual
MS. KRISTINA BURROW WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., ATR-BC,LPAT
Contact information
Practice address
200 PARK CIRCLE DR, SUITE 1, FLOWOOD, MS 39232-7628
(601) 664-0455
(601) 664-1675
Mailing address
111 PRESCOTT RDG, MADISON, MS 39110-4726
(601) 201-1515
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PAT0006
MS
101YM0800X
Mental Health Counselor
PAT0006
MS
221700000X
Art Therapist
PAT0006
MS
Other
Enumeration date
01/21/2009
Last updated
08/24/2016
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