Individual provider · Type 1 NPI

Kelly R. Wolfe

Mental Health Counselor · Woodstock, GA

NPI number 1295366169 Active

Practice location

4595 Towne Lake Pkwy Ste 250
Woodstock, GA 30189-5514

Mailing address

104 Olde Heritage Way
Woodstock, GA 30188-6121

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAPC006542 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1295366169

Kelly R. Wolfe's National Provider Identifier is 1295366169, issued on Jan 30, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Woodstock, GA. The record was last updated on Jan 30, 2020.