Individual
MRS. LATRICE YVETTE WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 W WEBER AVE, SUITE 30, STOCKTON, CA 95203-3151
(209) 451-3628
(209) 932-9446
Mailing address
750 SPAANS DR STE CDF, GALT, CA 95632-8609
(209) 451-3628
(209) 932-9446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
APCC18793
CA
373H00000X
Day Training/Habilitation Specialist
APCC18793
CA
Other
Enumeration date
01/15/2015
Last updated
03/21/2025
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