Individual
MR. COLIN ANTHONY WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, LPC
Contact information
Practice address
8311 SE 13TH AVE STE B, PORTLAND, OR 97202-7170
(503) 389-0398
(503) 200-1178
Mailing address
8311 SE 13TH AVE STE B, PORTLAND, OR 97202-7170
(503) 389-0398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3811
OR
106H00000X
Marriage & Family Therapist
001436
NY
Other
Enumeration date
08/11/2012
Last updated
07/05/2024
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