Woodruff, Patrick Travis

Woodruff, Patrick Travis is an sole proprietor health care provider with primary practice located at 246A S Main St , Marion NC 28752-4551. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Woodruff, Patrick Travis can be contacted via phone (252) 559-2882.

Contact Information

Primary practice address
246A S Main St Marion NC 28752-4551
Phone: (252) 559-2882
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 25275 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A14792 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 14792 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 14792 North Carolina

Profile Details

NPI number 1104452333
LBN Legal business name Woodruff, Patrick Travis
Credentials MA, LCMHC, LCAS, CSI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2020
Last updated Jul 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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