| Doctor Name: | MICHAEL J WOLFE |
| NPI Number: | 1134131048 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LCSW-26944 |
| Business Practice Address: | 110 N Willow St Kenai, AK - 996117701 |
| Business Phone Number: | 9072836693 |
| Business Fax Number: | 9072837088 |
| Mailing Address: | Po Box 1617, KENAI |
| State: | AK |
| Postal Code: | 996111617 |
| Phone Number: | 2082935673 |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2006 |
| NPI Last Update Date: | 01/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW-26944 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |