Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
Y | 101YP2500X | Professional Counselor | 4151 | NC |
NPI | 1285805226 |
---|---|
Provider Name | Mr. Donald P Schmidt |
First Address | Winston Salem, NC 27104-4514 |
Second Address | Winston Salem, NC 27104-4514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2008 |
Last Update Date | 18/03/2008 |