MEDICARE: MRS. LINDA ESTRELLA WOLFE MS, LMFT, CADC

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
1	106H00000X	Marriage & Family Therapist	01303	NV
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	00443-C	NV

General Provider Information

NPI Number	:	1548538788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA ESTRELLA WOLFE MS, LMFT, CADC

Provider Business Mailing Address
First Line	:	2457 URRARD ST
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-1540
Country	:	US
Telephone Number	:	702-578-8623
Fax Number	:

Provider Business Practice Location Address
First Line	:	4760 S PECOS RD
Second Line	:	SUITE #203
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-6038
Country	:	US
Telephone Number	:	702-578-8623
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2011
Last Update Date	:	01/26/2015

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