Individual
DAVID PAYNE WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
206 N. RANDOLPH, SUITE 501, CHAMPAIGN, IL 61820
(217) 766-6225
(332) 272-2670
Mailing address
1421 WINDING LANE, CHAMPAIGN-URBANA ILLINOIS, IL 61820
(217) 766-6625
(332) 272-2670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.014985
IL
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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