Individual
HEATHER MARIE WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
429 COLLEGE AVE APT 301, FORT WORTH, TX 76104-2264
(773) 727-7321
Mailing address
429 COLLEGE AVE APT 301, FORT WORTH, TX 76104-2264
(773) 727-7321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.012752
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180.012752
WILL BE PROVIDING DIGITAL THERAPY (TELEHEALTH) FOR BETTERHELP ONLINE THERAPY
IL
Enumeration date
08/25/2020
Last updated
08/25/2020
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