Individual
KANDACE LORRAINE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
525 METRO PL N STE 300, DUBLIN, OH 43017-5320
(855) 289-1722
Mailing address
525 METRO PL N STE 300, DUBLIN, OH 43017-5320
(855) 289-1722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
RN.451449
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361722
—
OH
05
—
2910854
—
OH
Enumeration date
07/13/2019
Last updated
11/26/2024
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