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.
Source: public NPPES record, last updated July 09, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
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)
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Biography
Mary Woodruff is a New York licensed mental health counselor based in Canandaigua. State licensure records show she has held her mental health counseling license since October 29, 2009, with registration current through March 31, 2027.
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
- Taxonomies
- Mental Health Counselor (101YM0800X)