Individual
BETH A WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMHC
Contact information
Practice address
2194 HIGHWAY A1A, SUITE 203, INDIAN HARBOUR BEACH, FL 32937-4930
(321) 821-0762
(321) 773-5479
Mailing address
2194 HIGHWAY A1A, SUITE 203, INDIAN HARBOUR BEACH, FL 32937-4930
(321) 821-0762
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601702
—
FL
Enumeration date
04/13/2007
Last updated
10/25/2016
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