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General NPI Number Information
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NPI Number | 1215682828
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Entity Type | Individual
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Provider Name | KAITLYN BROOKE WOLFE LPCC, LICDC
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Gender | Female
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 3300 W TECH BLVD
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City | MIAMISBURG
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State | OH
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Zip | 45342-4865
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Country | US
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Telephone | 937-641-3401
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Fax | 937-641-3046
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Provider Business Mailing Address
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Address Line | PO BOX 933421
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City | CLEVELAND
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State | OH
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Zip | 44193-0039
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Country | US
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Telephone | 937-641-5072
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Fax | 937-641-6129
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2505463
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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