Sarah Michelle Woodruff, CRC, LLPC

Individual provider Active NPI Professional Counselor · Baraga, MI

NPI 1922582394 · NPPES record last updated Sep 20, 2018

Key facts

NPI
1922582394
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6401016458 (MI)
Practice address
102 Superior Ave
Baraga, MI 49908-9673
Phone
(906) 353-8700
Fax
(906) 353-5222
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6401016458MIMDProfessional Counselor
00116005ARMDRehabilitation Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 00116005 AR
Professional Counselor 101YP2500X 6401016458 MI Yes

Addresses

Primary practice location

102 Superior Ave
Baraga, MI 49908-9673

Mailing address

102 Superior Ave
Baraga, MI 49908-9673
Phone (906) 353-8700

Other providers in Baraga, MI

All providers in Baraga, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.