Individual
JESSICA ROSE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
Mailing address
5300 ANTEQUERA RD NW APT 2003, ALBUQUERQUE, NM 87120-4589
(612) 437-9307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0937
NM
Other
Enumeration date
02/03/2023
Last updated
02/06/2023
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