Healthcare Provider Details

I. General information

NPI: 1902519408
Provider Name (Legal Business Name): KATHERINE RENEE WOLFE M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2022
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 S WADSWORTH BLVD UNIT D114
LAKEWOOD CO
80227-5122
US

IV. Provider business mailing address

151 RED ROCKS VISTA DR
MORRISON CO
80465-3008
US

V. Phone/Fax

Practice location:
  • Phone: 720-220-4344
  • Fax:
Mailing address:
  • Phone: 720-220-4344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC0024055
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: