MADISEN MARIE WOLLECK NPI 1619633542

NPI Information

NPI: 1619633542
Provider Name: MADISEN MARIE WOLLECK
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
500 CROWN POINT CIR
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 265-5811
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Madisen Marie Wolleck is a counselor in Grass Valley, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Madisen Marie Wolleck NPI is 1619633542. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 CROWN POINT CIR
GRASS VALLEY, CA
ZIP 95945-561
Phone: (530) 265-5811

The enumeration date for this NPI number is 11/15/2021 and was last updated on 1/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator			CALIFORNIA	No
2	101Y00000X	Counselor			CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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