Latrice Yvette Woodruff

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APCC18793 Issued in CA

Practice address

445 W Weber Ave
Suite 30
Stockton, CA 95203-3151

Phone

(209) 451-3628

Fax

(209) 932-9446

NPI assigned

Jan 15, 2015

Last updated

Mar 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1952790875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SPAANS DR STE CDF",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956328609",
            "telephone_number": "209-451-3628",
            "fax_number": "209-932-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W WEBER AVE",
            "address_2": "SUITE 30",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952033151",
            "telephone_number": "209-451-3628",
            "fax_number": "209-932-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "LATRICE",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": "APCC18793",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC18793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven A Wood, O.D.
• Angelina Shalonn Woodard
• Derek Thomas Woodard
• Tahirah Woodard
• Sean Woodland, PHD
• Thomas Coventry Woodruff Jr., MD
• Naziaha Woods-Cruz
• Irie Wonder Woods
• Megan Elizabeth Woods
• Saibre Monet Woods

• Professional Counselor in Stockton, CA
• Providers in Stockton, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.