Individual
JESSICA WOLFAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1314 SHASTA DR, COLORADO SPRINGS, CO 80910-1920
(254) 458-9035
Mailing address
1314 SHASTA DR, COLORADO SPRINGS, CO 80910-1920
(254) 458-9035
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2003029
OH
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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