| Doctor Name: | DR. ADONA IRENE WIMBERLY |
| NPI Number: | 1750597589 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., L.C.A.D.C. |
| License Number: | LCA124 |
| Business Practice Address: | 1407 York Rd Suite309 Lutherville, MD - 210936097 |
| Business Phone Number: | 4108252281 |
| Business Fax Number: | 4108250757 |
| Mailing Address: | 9565 Long Look Ln, COLUMBIA |
| State: | MD |
| Postal Code: | 210453241 |
| Phone Number: | 4108252281 |
| Fax Number: | 4108250757 |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LCA124 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |