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NPI Code Detail

MEDICARE: RHONDA FRYE WOLFF M.ED, NCC LPC MHSP

MEDICARE:   RHONDA FRYE WOLFF  M.ED, NCC LPC MHSP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0000001470TN

General Provider Information

NPI Number : 1326039900
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA FRYE WOLFF M.ED, NCC LPC MHSP
Provider Business Mailing Address
First Line : 5211 HIGHWAY 153
Second Line : SUITE C
City : HIXSON
State : TN
Zip : 37343-4956
Country : US
Telephone Number : 423-870-0085
Fax Number : 423-870-3411
Provider Business Practice Location Address
First Line : 5211 HIGHWAY 153
Second Line : SUITE C
City : HIXSON
State : TN
Zip : 37343-4956
Country : US
Telephone Number : 423-870-0085
Fax Number : 423-870-3411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 07/08/2007

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Directions to “ RHONDA FRYE WOLFF M.ED, NCC LPC MHSP” Practice Location

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