Provider Demographics
NPI:1518205053
Name:WOLFE, TERESA A (LPC, LAC, NCC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:A
Last Name:WOLFE
Suffix:
Gender:F
Credentials:LPC, LAC, NCC
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:A
Other - Last Name:RIDLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2581 PARK LN
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3172
Mailing Address - Country:US
Mailing Address - Phone:720-442-5581
Mailing Address - Fax:
Practice Address - Street 1:2581 PARK LN
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3172
Practice Address - Country:US
Practice Address - Phone:720-442-5581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0015519101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional