Dawn Maria Wolfe, MA
Individual provider Active NPI Professional Counselor · Coal City, IL
NPI 1689286296 · NPPES record last updated Aug 17, 2020
Key facts
- NPI
- 1689286296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178.014045 (IL)
- Practice address
- 295 W Division St
Coal City, IL 60416-1581 - Phone
- (815) 515-0010
- NPI assigned
- Aug 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.014045 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Studio | Professional | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.014045 | IL | Yes |
Addresses
Primary practice location
295 W Division St
Coal City, IL 60416-1581
Mailing address
2716 W Rte 17
Kankakee, IL 60901-7964
Phone (815) 474-4265
Other providers in Coal City, IL
- Vision Medical Supplies LLC
- Kailee J Walgren
- Wanderlust Wellness Counseling LLC
- Weber Micetich Chiropractic P.C.
- Tiffany Kathryn Wills
- Bethany Zbinden
All providers in Coal City, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.