Individual provider · Type 1 NPI

Lesa Wolfe

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1831712405 Active

Practice location

3099 NE Diamond Lake Blvd
Roseburg, OR 97470-3655

Fax (541) 673-5642

Mailing address

621 W Madrone St
Roseburg, OR 97470-3090

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1831712405

Lesa Wolfe's National Provider Identifier is 1831712405, issued on May 18, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseburg, OR. The record was last updated on May 18, 2020.