Individual
KAITLYN BROOKE WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LICDC
Contact information
Practice address
3300 W TECH BLVD, MIAMISBURG, OH 45342-4865
(937) 641-3401
(937) 641-3046
Mailing address
PO BOX 933421, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
E.2505463
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138485
—
OH
Enumeration date
02/14/2022
Last updated
12/11/2025
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