Healthcare Provider Details

I. General information

NPI: 1598005449
Provider Name (Legal Business Name): DAWN WOODRING MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2013
Last Update Date: 02/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 JEFFERSON ST SE
ALBUQUERQUE NM
87108-3426
US

IV. Provider business mailing address

PO BOX 81892
ALBUQUERQUE NM
87198-1892
US

V. Phone/Fax

Practice location:
  • Phone: 505-235-4523
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0129271
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: