Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | LC8732 | MD |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | LC8732 | MD |
N | 101YM0800X | Mental Health Counselor | LC8732 | MD |
N | 101YP1600X | Pastoral Counselor | LC8732 | MD |
Y | 101YP2500X | Professional Counselor | LC8732 | MD |
NPI | 1184159113 |
---|---|
Provider Name | Rodney Wright |
First Address | Columbia, MD 21044-6278 |
Second Address | Columbia, MD 21044-6278 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2017 |
Last Update Date | 12/02/2021 |