Individual
TAYLOR WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-INTERN, BA, AAS
Contact information
Practice address
1161 S LOOP RD BLDG B, PAHRUMP, NV 89048-4765
(775) 751-6990
Mailing address
6750 CAJON LN, PAHRUMP, NV 89048-7611
(775) 513-2958
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02656-I
NV
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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