Provider Demographics
NPI:1780472563
Name:DAVISON-WOLFE, YONETTE SYMONE (LPC)
Entity type:Individual
Prefix:MRS
First Name:YONETTE
Middle Name:SYMONE
Last Name:DAVISON-WOLFE
Suffix:
Gender:
Credentials:LPC
Other - Prefix:MRS
Other - First Name:YONETTE
Other - Middle Name:SYMONE
Other - Last Name:DAVISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2539 WINDY OAK CT
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-1183
Mailing Address - Country:US
Mailing Address - Phone:410-793-3763
Mailing Address - Fax:
Practice Address - Street 1:2539 WINDY OAK CT
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-1183
Practice Address - Country:US
Practice Address - Phone:410-793-3763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2840101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional