Individual
MICHELE PIMENTA WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4730 BECKNER ROAD, SANTA FE, NM 87507
(505) 989-4500
Mailing address
4258 CACTUS FLOWER LN, SANTA FE, NM 87507-0822
(720) 341-0856
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NLC.0106001
CO
106H00000X
Marriage & Family Therapist
Primary
CMF0218401
NM
225700000X
Massage Therapist
MT. 0016965
CO
Other
Enumeration date
03/10/2015
Last updated
08/23/2023
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