Individual
JOHN WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8400 BUSTLETON AVE, SUITE 200, PHILADELPHIA, PA 19152-1918
(610) 644-6464
(610) 644-4066
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 644-4066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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