Individual
THERESA MARIE WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
1030 SIMMS AVE, COUNCIL BLUFFS, IA 51503-0578
(402) 850-1843
(712) 323-4664
Mailing address
1030 SIMMS AVE, COUNCIL BLUFFS, IA 51503-0578
(402) 850-1843
(712) 323-4664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2003
NE
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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