Provider Demographics
NPI:1942969951
Name:WOLF, CHRISTINE J (MMFT)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:J
Last Name:WOLF
Suffix:
Gender:F
Credentials:MMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 N 2ND ST STE 202
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-6460
Mailing Address - Country:US
Mailing Address - Phone:615-348-5806
Mailing Address - Fax:
Practice Address - Street 1:128 N 2ND ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-6458
Practice Address - Country:US
Practice Address - Phone:615-348-5806
Practice Address - Fax:931-218-2894
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty