Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICHARD MARK WODKA, M.DIV.
Active Sole ProprietorMR. RICHARD MARK WODKA, M.DIV. is a Pastoral Counselor healthcare provider located in NOGALES, Arizona. NPI 1568697340 is currently active in the NPPES registry. Verify at CMS.
Pastoral Counselor · NOGALES, AZ
Registration Details
- NPI Number
- 1568697340
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2009 (17.275639009622 yrs)
- Last Updated
- May 21, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
1790 N MASTICK WAYSUITE DNOGALES, AZ, 856211135Browse AZ providers · Browse ZIP 85621
- Phone
- 5202236910
- Fax
- 5202813548
- Primary Specialty
-
Pastoral Counselor
101YP1600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.