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MR. KENNETH JAMES WOLFORD PCC NPI 1194053413


NPI Information

NPI: 1194053413
Provider Name: MR. KENNETH JAMES WOLFORD, PCC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1925 HAYES AVE
SANDUSKY, OH
ZIP 44870
Phone: (419) 557-5177
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MR. Kenneth James Wolford, PCC is a counselor in Sandusky, OH. 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. MR. Kenneth James Wolford, PCC NPI is 1194053413. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1925 HAYES AVE
SANDUSKY, OH
ZIP 44870-737
Phone: (419) 557-5177
Fax: (419) 557-5179

The enumeration date for this NPI number is 11/24/2009 and was last updated on 11/24/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor0002752OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10002752MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.