Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
N | 103TS0200X | School Psychologist | 1007090 | NC |
NPI | 1043564271 |
---|---|
Provider Name | Danny Wamsley |
First Address | Raleigh, NC 27612-3214 |
Second Address | Raleigh, NC 27612-3214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2012 |
Last Update Date | 26/08/2015 |