Individual
MR. MAXX WOLF D'ELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9015 MURRAY AVE STE 100, GILROY, CA 95020-3675
(408) 842-7138
Mailing address
9015 MURRAY AVE, GILROY, CA 95020-3673
(408) 691-6840
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/12/2022
Last updated
07/09/2025
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