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Brian A Wolf, PHD
Addiction (Substance Use Disorder) Counselor in Kenosha, Wisconsin
NPI 1609982040

Brian A Wolf is an Addiction (Substance Use Disorder) Counselor based in Kenosha, WI and is specialized in Addiction (Substance Use Disorder). Brian A Wolf practices in Kenosha, WI and has the professional credentials of PHD. The NPI Number for Brian A Wolf is 1609982040 and holds a License No. 1039-057 (Wisconsin).

The current practice location address for Brian A Wolf is 2108 63Rd St, Kenosha, WI and can be reached out via phone at 262-652-2406 and via fax at 262-652-2408.

Location: 2108 63Rd St, Kenosha, WI, 53142-7015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609982040
Provider Name
Brian A Wolf
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2108 63Rd St, Kenosha, WI, 53142-7015
Phone Number
262-652-2406
Fax Number
262-652-2408
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39046000 05 WI
institution
Provider Business Practice Location Address Details
Address
2108 63Rd St
City
Kenosha
State
Wisconsin
Zip
53143-4454
Phone Number
262-652-2406
Fax Number
262-652-2408
person
Provider Business Mailing Address Details
Address
2108 63Rd St
City
Kenosha
State
Wisconsin
Zip
53143-4454
Phone Number
262-652-2406
Fax Number
262-652-2408
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
12126 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1039-057 (Wisconsin)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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