Individual
MARIAH WULFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 UNIVERSITY AVE STE 350, MADISON, WI 53703-4925
(262) 441-3662
Mailing address
1829 WINDOM WAY, MADISON, WI 53704-3351
(262) 441-3662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4477
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2017
Last updated
07/09/2020
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