Individual provider · Type 1 NPI

Theresa Louise Wolgast

Mental Health Counselor · Davenport, IA

NPI number 1700713070 Active

Practice location

2711 W 63rd St
Davenport, IA 52806-1647

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700713070

Theresa Louise Wolgast's National Provider Identifier is 1700713070, issued on May 8, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Davenport, IA. The record was last updated on Aug 12, 2026.