NPI Code Details Logo

NPI 1073492237

NPI 1073492237 : CHRISTIAN WOLFE PLLC : SAINT PAUL, MN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1073492237
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CHRISTIAN WOLFE PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/30/2025
-----------------------------------------------------
    Last Update Date     |    12/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1595 SELBY AVE STE 105 
-----------------------------------------------------
    City                 |    SAINT PAUL
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55104-6285
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    651-321-1030
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    200 EXCHANGE ST S UNIT 333 
-----------------------------------------------------
    City                 |    SAINT PAUL
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55102-3767
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    347-583-2427
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER, PSYCHOTHERAPIST
-----------------------------------------------------
    Name                 |    MR. CHRISTIAN  WOLFE 
-----------------------------------------------------
    Credential           |    LPCC-S, LADC
-----------------------------------------------------
    Telephone            |    612-807-1084
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.