Provider Demographics
NPI:1457300907
Name:DELANEY, RODNEY BURDETTE (LPCC-S, LICDC, NCC)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:BURDETTE
Last Name:DELANEY
Suffix:
Gender:M
Credentials:LPCC-S, LICDC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28916 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:WICKLIFFE
Mailing Address - State:OH
Mailing Address - Zip Code:44092-2531
Mailing Address - Country:US
Mailing Address - Phone:216-832-8660
Mailing Address - Fax:
Practice Address - Street 1:28916 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WICKLIFFE
Practice Address - State:OH
Practice Address - Zip Code:44092-2531
Practice Address - Country:US
Practice Address - Phone:216-832-8660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002867101YP2500X, 101YM0800X
OH954224101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)