Individual provider · Type 1 NPI

Jeremy David Wolfe

Counselor · Corvallis, OR

NPI number 1407104904 Active

Practice location

4455 NE Highway 20
Corvallis, OR 97330-9695

Mailing address

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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's degree and clinical experience and supervision for licensure or certification.

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About NPI 1407104904

Jeremy David Wolfe's National Provider Identifier is 1407104904, issued on Aug 15, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Corvallis, OR. The record was last updated on Aug 15, 2012.