Individual provider · Type 1 NPI
Diane Marie Wolfgram
Addiction (Substance Use Disorder) Counselor · Cedar Rapids, IA
NPI number
1093340481
Active
Practice location
3601 16th Ave SW
Cedar Rapids, IA 52404-2363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1093340481
Diane Marie Wolfgram's National Provider Identifier is 1093340481, issued on Mar 6, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cedar Rapids, IA. The record was last updated on Mar 6, 2020.