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NPI Code Detail

MEDICARE: MS. JOELLEN KAE WOODRING LPCC-S

MEDICARE: MS. JOELLEN KAE WOODRING LPCC-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorE.0007797-SUPVOH
2101YP2500XProfessional CounselorE0007797OH

General Provider Information

NPI Number : 1770785776
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOELLEN KAE WOODRING LPCC-S
Provider Business Mailing Address
First Line : 1621 MEDINA RD STE 2
Second Line :
City : MEDINA
State : OH
Zip : 44256-5333
Country : US
Telephone Number : 330-241-4444
Fax Number :
Provider Business Practice Location Address
First Line : 1621 MEDINA RD STE 2
Second Line :
City : MEDINA
State : OH
Zip : 44256-5333
Country : US
Telephone Number : 330-241-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2007
Last Update Date : 01/15/2026

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Directions to “ MS. JOELLEN KAE WOODRING LPCC-S” Practice Location

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