Healthcare Provider Details

I. General information

NPI: 1073492237
Provider Name (Legal Business Name): CHRISTIAN WOLFE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1595 SELBY AVE STE 105
SAINT PAUL MN
55104-6285
US

IV. Provider business mailing address

200 EXCHANGE ST S UNIT 333
SAINT PAUL MN
55102-3767
US

V. Phone/Fax

Practice location:
  • Phone: 651-321-1030
  • Fax:
Mailing address:
  • Phone: 347-583-2427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTIAN WOLFE
Title or Position: OWNER, PSYCHOTHERAPIST
Credential: LPCC-S, LADC
Phone: 612-807-1084