Provider Demographics
NPI:1548333578
Name:GOLDEN WOLFE, MALKA (PHD MFT)
Entity type:Individual
Prefix:MS
First Name:MALKA
Middle Name:
Last Name:GOLDEN WOLFE
Suffix:
Gender:F
Credentials:PHD MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 14TH ST
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221
Mailing Address - Country:US
Mailing Address - Phone:360-588-9296
Mailing Address - Fax:360-588-9296
Practice Address - Street 1:619 COMMERCIAL AVE
Practice Address - Street 2:#18
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221
Practice Address - Country:US
Practice Address - Phone:360-588-9296
Practice Address - Fax:360-588-9296
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002365106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist