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Provider Information for 1043220403


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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Ms. PATRICIA LYNN TOMPKINS WOODSON M.Ed.; LPC


Sex: Female

NPI: 1043220403
Last Updated: 2007-07-09
Certification Date:

Details

NameValue
NPI1043220403
Enumeration Date2006-08-09
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address PO BOX 10773
DANVILLE, VA 24543-5013
United States

Phone: 434-836-6689 | Fax:434-685-1543
 
Primary Practice Address 1115 FRANKLIN TPKE
AK FERRELL BUILDING, SUITES 11 & 12
DANVILLE, VA 24540-1362
United States

Phone: 434-836-6689 | Fax:434-685-1543
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)VA0701003091LPC license #
MEDICAIDVA5411475
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalVA0701003091