MEDICARE: MR. KARL F WOLFE MA ED

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1922311778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KARL F WOLFE MA ED

Provider Business Mailing Address
First Line	:	66A ELM ST
Second Line	:
City	:	NEW SALEM
State	:	MA
Zip	:	01355-9502
Country	:	US
Telephone Number	:	413-262-9089
Fax Number	:

Provider Business Practice Location Address
First Line	:	66A ELM ST
Second Line	:
City	:	NEW SALEM
State	:	MA
Zip	:	01355-9502
Country	:	US
Telephone Number	:	413-262-9089
Fax Number	:

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

Provider Enumeration Date	:	07/22/2010
Last Update Date	:	07/22/2010

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