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Laura Wolf
Professional Counselor in Bastrop, Texas
NPI 1639664618

Laura Wolf is a Professional Counselor based in Bastrop, TX and is specialized in Professional. Laura Wolf practices in Bastrop, TX. The NPI Number for Laura Wolf is 1639664618 and holds a License No. 79970 (Texas).

The current practice location address for Laura Wolf is 909 Pecan St, Bastrop, TX and can be reached out via phone at 512-321-3774.

Location: 909 Pecan St, Bastrop, TX, 78602-3017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639664618
Provider Name
Laura Wolf
Credential
Provider Entity Type
Individual
Gender
Female
Address
909 Pecan St, Bastrop, TX, 78602-3017
Phone Number
512-321-3774
Fax Number
Provider Enumeration Date
06/22/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
79970 01 TX TEXAS BOARD OF PROFESSIONAL COUNSELORS
institution
Provider Business Practice Location Address Details
Address
909 Pecan St
City
Bastrop
State
Texas
Zip
78602-3819
Phone Number
512-321-3774
Fax Number
person
Provider Business Mailing Address Details
Address
909 Pecan St
City
Bastrop
State
Texas
Zip
78602-3819
Phone Number
512-321-3774
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
79970 (Texas)
Definition
Definition to come...
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