Provider Demographics
NPI:1316645187
Name:LAYTON, WENDY ANN (LGPC, NCC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:ANN
Last Name:LAYTON
Suffix:
Gender:F
Credentials:LGPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 WABASH DR
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-1317
Mailing Address - Country:US
Mailing Address - Phone:443-655-1832
Mailing Address - Fax:
Practice Address - Street 1:1406 WABASH DR
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-1317
Practice Address - Country:US
Practice Address - Phone:443-655-1832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGPC13040101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health