WESLEY WOLTER MSMA NPI 1417420290

NPI Information

NPI: 1417420290
Provider Name: WESLEY WOLTER, MS,MA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1461 BLOOD BROOK RD
FAIRLEE, VT
ZIP 05045
Phone: (802) 299-1467
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Wesley Wolter, MS,MA is an addiction (substance use disorder) counselor in Fairlee, VT. Wesley Wolter, MS,MA NPI is 1417420290. 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:

1461 BLOOD BROOK RD
FAIRLEE, VT
ZIP 05045-847
Phone: (802) 299-1467

The enumeration date for this NPI number is 1/4/2019 and was last updated on 1/4/2019.

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	101YM0800X	Counselor	Mental Health		VERMONT	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)		VERMONT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	81-2304276	MEDICAID	VERMONT

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: 5/5/2024

NPI Synchronization or Removal

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