Provider Demographics
NPI:1487076576
Name:WOLFE, WENDE RENE (LPC)
Entity type:Individual
Prefix:
First Name:WENDE
Middle Name:RENE
Last Name:WOLFE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:WENDE
Other - Middle Name:RENE
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 5016
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-0042
Mailing Address - Country:US
Mailing Address - Phone:541-372-0939
Mailing Address - Fax:541-871-7143
Practice Address - Street 1:700 TWIN CREEKS XING STE A
Practice Address - Street 2:
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-8661
Practice Address - Country:US
Practice Address - Phone:504-372-0939
Practice Address - Fax:541-871-7143
Is Sole Proprietor?:No
Enumeration Date:2014-01-09
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1858101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional