Provider Demographics
NPI:1215252069
Name:WOLFE, BARBARA JOAN
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JOAN
Last Name:WOLFE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:876 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5309
Mailing Address - Country:US
Mailing Address - Phone:970-382-9835
Mailing Address - Fax:
Practice Address - Street 1:150 E 9TH ST
Practice Address - Street 2:SUITE 205
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5550
Practice Address - Country:US
Practice Address - Phone:970-382-9835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2065101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor