Provider Demographics
NPI:1497016158
Name:WOODS, PATRICIA A (LPC-NJ, LPC-PA, NCC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:A
Last Name:WOODS
Suffix:
Gender:F
Credentials:LPC-NJ, LPC-PA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 349
Mailing Address - Street 2:
Mailing Address - City:DELAWARE WATER GAP
Mailing Address - State:PA
Mailing Address - Zip Code:18327-0349
Mailing Address - Country:US
Mailing Address - Phone:201-913-2842
Mailing Address - Fax:
Practice Address - Street 1:849 LINCOLN AVENUE
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452
Practice Address - Country:US
Practice Address - Phone:201-913-2842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00295000101Y00000X
PAPC005559101Y00000X
71255101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor