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NPI Code Detail

MEDICARE: CHRISTIAN WOLFE PLLC

MEDICARE: CHRISTIAN WOLFE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1073492237
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTIAN WOLFE PLLC
Provider Business Mailing Address
First Line : 200 EXCHANGE ST S UNIT 333
Second Line :
City : SAINT PAUL
State : MN
Zip : 55102-3767
Country : US
Telephone Number : 347-583-2427
Fax Number :
Provider Business Practice Location Address
First Line : 1595 SELBY AVE STE 105
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-6285
Country : US
Telephone Number : 651-321-1030
Fax Number :
Authorized Official
Title or Position : OWNER, PSYCHOTHERAPIST
Name : MR. CHRISTIAN WOLFE
Credential : LPCC-S, LADC
Telephone Number : 612-807-1084
Provider Enumeration Date : 08/30/2025
Last Update Date : 12/09/2025

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