National Provider Identifier
Mary Kathleen Woodruff, LMHC
Mary Kathleen Woodruff, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Canandaigua, NY and a listed phone number of (585) 315-0580.
Profile Overview
- NPI
- 1285120618
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- July 09, 2018
- Last Updated
- July 09, 2018
Practice Location
- 163 Gibson Street
- Canandaigua, NY 14424
Phone: (585) 315-0580
Mailing Address
- 163 Gibson St
- Canandaigua, NY 14424-1340
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1285120618
- Entity Type
- Individual
- Last Name
- Woodruff
- First Name
- Mary
- Middle Name
- Kathleen
- Name Prefix
- Mrs.
- Credential
- LMHC
- Mailing Street Address
- 163 Gibson St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1340
- Mailing Country
- US
- Mailing Phone
- (585) 315-0580
- Practice Street Address
- 163 Gibson Street
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424
- Practice Country
- US
- Practice Phone
- (585) 315-0580
- Enumeration Date
- July 09, 2018
- Last Updated
- July 09, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)