| Provider / Organization | NPI | Date Certified |
|---|---|---|
| COLIN ANTHONY WOLF | 1629325477 | 2024-07-05 |
Colin Anthony Wolf is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1629325477. Registration indicates Colin Anthony Wolf is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) (Behavioral Health & Social Service Providers, Marriage & Family Therapist) (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Mr. Colin Anthony Wolf LMFT, LPC |
| Practice Office Address | 8311 SE 13TH AVE STE B PORTLAND, OR US |
| Practice Office Telephone | 5033890398 |
| Practice Office Fax | 5032001178 |
| Mailing Address | 8311 SE 13TH AVE STE B PORTLAND, OR 972027170 US |
| Business Telephone | 5033890398 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | C3811
OR |
| 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 001436
NY |