Provider Demographics
NPI:1336338078
Name:WOOLF, WENDY MICHELLE (LMHC, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:MICHELLE
Last Name:WOOLF
Suffix:
Gender:F
Credentials:LMHC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2219 SUZANNE DRIVE
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002
Mailing Address - Country:US
Mailing Address - Phone:630-220-3527
Mailing Address - Fax:847-838-9907
Practice Address - Street 1:4121 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002
Practice Address - Country:US
Practice Address - Phone:630-220-3527
Practice Address - Fax:847-838-9907
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006489101YM0800X, 103TC0700X
IA096453101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical