Individual provider · Type 1 NPI

Phylicia Wooten, LCPC

Professional Counselor · White Plains, MD

NPI number 1609307040 Active

Practice location

5510 Regency Place Suite 203
White Plains, MD 20695

Mailing address

14640 Gallant Ln
Waldorf, MD 20601-5509

Other practice locations

  • 770 M St SE, Washington, DC 20003-3609 · (202) 547-3870
  • 14640 Gallant Ln, Waldorf, MD 20601-5509 · (513) 720-7447
  • 1208 E Churchville Rd Ste 300, Bel Air, MD 21014 · (410) 893-4600

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLGPC00235 (DC)
Professional Counselor Primary 101YP2500XLC10320 (MD)

Professional Counselor: Definition to come...

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About NPI 1609307040

Phylicia Wooten, LCPC's National Provider Identifier is 1609307040, issued on Mar 27, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in White Plains, MD. The record was last updated on Apr 3, 2020.