Individual
ALEXIS MARIE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11810 TEDFORD ST, AUSTIN, TX 78753-2130
(512) 733-9704
Mailing address
11810 TEDFORD ST, AUSTIN, TX 78753-2130
(512) 733-9704
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MC60977139
WA
101YP2500X
Professional Counselor
Primary
85462
TX
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-1484457
—
TX
Enumeration date
06/09/2017
Last updated
11/21/2022
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