Individual
MS. ALEXIS ELIZABETH WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1979 MCCULLOCH BLVD N STE 202, LAKE HAVASU CITY, AZ 86403-0968
(928) 920-6873
Mailing address
1979 MCCULLOCH BLVD N STE 202, LAKE HAVASU CITY, AZ 86403-0968
(928) 920-6873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-16511
AZ
Other
Enumeration date
10/15/2017
Last updated
07/31/2020
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