Provider Demographics
NPI:1265979793
Name:WOODS, ANNMARIE (LPC)
Entity type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-1320
Mailing Address - Country:US
Mailing Address - Phone:845-597-6015
Mailing Address - Fax:
Practice Address - Street 1:172 FRANKLIN AVE
Practice Address - Street 2:SUITE 4B
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3250
Practice Address - Country:US
Practice Address - Phone:845-597-6015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00577600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health