Individual
MOLLY J WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
9720 S TACOMA WAY, LAKEWOOD, WA 98499-4456
(253) 503-3666
Mailing address
17536 153RD AVE SE, YELM, WA 98597-8527
(253) 503-3666
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
70005826
WA
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
04/24/2026
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