Doctor Name: | KAREN WOLFENDON |
NPI Number: | 1073670204 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 5001 |
Business Practice Address: | 73 Princeton St Suite 314 North Chelmsford, MA - 018631558 |
Business Phone Number: | 9782517806 |
Business Fax Number: | 9782511880 |
Mailing Address: | 73 Princeton St, Suite 314 NORTH CHELMSFORD |
State: | MA |
Postal Code: | 018631558 |
Phone Number: | 9782517806 |
Fax Number: | 9782511880 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |