Individual
HEATHER WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 OAK ST, LAS CRUCES, NM 88005-3769
(575) 523-2288
Mailing address
8176 CONSTITUTION RD, LAS CRUCES, NM 88007-8983
(262) 364-7370
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2022-0024
NM
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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