Provider Demographics
NPI:1073021911
Name:WOOD, ARLENE PATRICIA (LCPC, LPCMH)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:PATRICIA
Last Name:WOOD
Suffix:
Gender:F
Credentials:LCPC, LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10765 A NORTH LAUREL HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:DE
Mailing Address - Zip Code:19956
Mailing Address - Country:US
Mailing Address - Phone:302-280-6505
Mailing Address - Fax:
Practice Address - Street 1:517 WILLOW STREET
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:DE
Practice Address - Zip Code:19956
Practice Address - Country:US
Practice Address - Phone:302-396-1526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000816101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health