Doctor Name: | JEFFREY WOLFANGER |
NPI Number: | 1427246396 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | RC PENDING |
Business Practice Address: | 402 S 4th Ave Yakima, WA - 989023546 |
Business Phone Number: | 5094933400 |
Business Fax Number: | |
Mailing Address: | Po Box 959, YAKIMA |
State: | WA |
Postal Code: | 989070959 |
Phone Number: | 5095754084 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2007 |
NPI Last Update Date: | 01/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | RC PENDING |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |