Provider Demographics
NPI:1154517241
Name:WOLFORD, DONALD EUGENE (LPC)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:EUGENE
Last Name:WOLFORD
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 WEBB BLVD
Mailing Address - Street 2:
Mailing Address - City:HAVELOCK
Mailing Address - State:NC
Mailing Address - Zip Code:28532-1933
Mailing Address - Country:US
Mailing Address - Phone:252-447-3297
Mailing Address - Fax:
Practice Address - Street 1:116 MARKET ST
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-6704
Practice Address - Country:US
Practice Address - Phone:252-635-1232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6696101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103697Medicaid
NC148EAOtherNORTH CAROLINA HEALTH CHOICE