Carly Wolfram
Counseling Psychologist
5404 W Elm St
McHenry
, Illinois 60050-4052
Carly Wolfram
Counseling Psychologist
5404 W Elm St
McHenry
, Illinois 60050-4052
(815) 331-8786
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Carly Wolfram
- 5404 W Elm St
- Mchenry, IL
- Zip : 60050-4052
- Phone : (815) 331-8786
Second Address
- Carly Wolfram
- 5404 W Elm St
- Mchenry, IL
- Zip : 60050-4052
- Phone : (815) 331-8786
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist |
National Provider Identifier
| NPI | 1114492303 |
|---|---|
| Provider Name | Carly Wolfram |
| First Address | Mchenry, IL 60050-4052 |
| Second Address | Mchenry, IL 60050-4052 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2018 |
| Last Update Date | 04/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.