Doctor Name: | CHRISTINA DENISE WOLF |
NPI Number: | 1700228467 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHCA |
License Number: | MC 60275956 |
Business Practice Address: | 461 Discovery Way Eastsound, WA - 982452211 |
Business Phone Number: | 3603767545 |
Business Fax Number: | |
Mailing Address: | Po Box 996, EASTSOUND |
State: | WA |
Postal Code: | 982450996 |
Phone Number: | 3603767545 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2013 |
NPI Last Update Date: | 07/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MC 60275956 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |