Individual
LINDA A WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NBCC, LPC
Contact information
Practice address
627 OLD TROLLEY RD STE A, SUMMERVILLE, SC 29485-5673
(800) 552-4357
(678) 388-9244
Mailing address
173 BRALY DR, SUMMERVILLE, SC 29485-5317
(843) 990-1262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7469
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC2892
—
SC
Enumeration date
05/29/2018
Last updated
08/13/2024
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