Individual
DR. ADONA IRENE WIMBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.C.A.D.C.
Contact information
Practice address
1447 YORK RD STE 506, LUTHERVILLE, MD 21093-6022
(410) 825-2281
(410) 825-2280
Mailing address
9565 LONG LOOK LN, COLUMBIA, MD 21045-3241
(443) 621-5355
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCA124
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA124
MD
103T00000X
Psychologist
04227
MD
103TC0700X
Clinical Psychologist
Primary
04227
MD
Other
Enumeration date
05/16/2007
Last updated
09/13/2019
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