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General NPI Number Information
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NPI Number | 1689852121
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Entity Type | Individual
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Provider Name | MARY CHRISTINE WOLERY ED.S, MFT,LADC
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Gender | Female
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 05/13/2013
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Provider Practice Location Address
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Address Line | 1677 LUCERNE ST STE B
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City | MINDEN
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State | NV
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Zip | 89423-4347
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Country | US
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Telephone | 775-720-8445
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Fax | 775-782-2231
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Provider Business Mailing Address
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Address Line | 920 SHERIDAN LN
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City | GARDNERVILLE
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State | NV
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Zip | 89460-6546
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Country | US
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Telephone | 775-720-8445
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Fax | 775-782-2231
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 538
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 01146
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License Number State | NV
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