Wolfe, Marion Cornelius

Wolfe, Marion Cornelius is an sole proprietor health care provider with primary practice located at 900 Fulton Ave Ste 205 , Sacramento CA 95825-4517. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Wolfe, Marion Cornelius can be contacted via phone (916) 484-3570.

Contact Information

Primary practice address
900 Fulton Ave Ste 205 Sacramento CA 95825-4517
Phone: (916) 484-3570
Fax: (916) 484-3577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW70101 California
Behavioral Health & Social Service Providers / Counselor 101Y00000X 70101 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 03-109797 California

Profile Details

NPI number 1780942334
LBN Legal business name Wolfe, Marion Cornelius
Credentials ASW70101
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2012
Last updated Feb 14th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780942334 NPPES
California Other 03-109797 CAS AOD CERTIFICATION

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