Doctor Name: | CHARLANNE WOLFF |
NPI Number: | 1447573555 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 39002138A |
Business Practice Address: | 3563 S. State Rd 13 Wabash, IN - 46992 |
Business Phone Number: | 2605638452 |
Business Fax Number: | 2605690335 |
Mailing Address: | 3563 S State Road 13, WABASH |
State: | IN |
Postal Code: | 469929162 |
Phone Number: | 2605638452 |
Fax Number: | 2605690335 |
NPI Enumeration Date: | 03/03/2010 |
NPI Last Update Date: | 03/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39002138A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |