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General NPI Number Information
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NPI Number | 1487076576
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Entity Type | Individual
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Provider Name | WENDE RENE WOLFE LPC
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Gender | Female
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Dates
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Enumeration Date | 01/09/2014
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 700 TWIN CREEKS XING STE A
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City | CENTRAL POINT
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State | OR
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Zip | 97502-8661
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Country | US
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Telephone | 504-372-0939
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Fax | 541-871-7143
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Provider Business Mailing Address
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Address Line | PO BOX 5016
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City | CENTRAL POINT
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State | OR
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Zip | 97502-0042
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Country | US
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Telephone | 541-372-0939
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Fax | 541-871-7143
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C1858
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License Number State | OR
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