Individual
COREY SCOTT WOLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS NCC LPC
Contact information
Practice address
20165 N 67TH AVE STE 102, GLENDALE, AZ 85308-7003
(928) 486-0784
Mailing address
17620 N 42ND LN, GLENDALE, AZ 85308-2928
(928) 486-0784
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC18455
AZ
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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