Individual
AMANDA LEIGH WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, RPT, CDC 1
Contact information
Practice address
2250 S WOODWORTH LOOP, SUITE 202, PALMER, AK 99645-7457
(907) 761-5800
(907) 761-5801
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3935
AK
101YP2500X
Professional Counselor
Primary
112995
AK
Other
Enumeration date
05/03/2013
Last updated
12/01/2016
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