Provider Demographics
NPI:1053966341
Name:WOODRUFF, COURTNEY MARIANNE (LPC)
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:MARIANNE
Last Name:WOODRUFF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:COURTNEY
Other - Middle Name:MARIANNE
Other - Last Name:CHORBAJIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:416 DUNCAN RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29617-1217
Mailing Address - Country:US
Mailing Address - Phone:864-720-9766
Mailing Address - Fax:
Practice Address - Street 1:29 N ACADEMY ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-2629
Practice Address - Country:US
Practice Address - Phone:864-331-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6790101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional