Provider Demographics
NPI:1275084162
Name:WOLFE, SHAWN RENEE (CRC)
Entity Type:Individual
Prefix:MRS
First Name:SHAWN
Middle Name:RENEE
Last Name:WOLFE
Suffix:
Gender:F
Credentials:CRC
Other - Prefix:MISS
Other - First Name:SHAWN
Other - Middle Name:RENEE
Other - Last Name:SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRC
Mailing Address - Street 1:570 VILLAGE WAY
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-2369
Mailing Address - Country:US
Mailing Address - Phone:972-742-9128
Mailing Address - Fax:
Practice Address - Street 1:570 VILLAGE WAY
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-2369
Practice Address - Country:US
Practice Address - Phone:972-742-9128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health