Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 101YP2500X | Professional Counselor | ||
N | 103K00000X | Behavior Analyst | ||
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1144595737 |
---|---|
Provider Name | Donte Thorogood |
First Address | Morrisville, NC 27560-7011 |
Second Address | Morrisville, NC 27560-7011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2012 |
Last Update Date | 14/03/2012 |