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NPI Code Detail

MEDICARE: CATHERINE WELLENHOFER

MEDICARE:   CATHERINE  WELLENHOFER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1366322133
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE WELLENHOFER
Provider Business Mailing Address
First Line : 3926 MIRIAM DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-7726
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3926 MIRIAM DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-7726
Country : US
Telephone Number : 704-476-1580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2025
Last Update Date : 09/03/2025

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Directions to “ CATHERINE WELLENHOFER ” Practice Location

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