| Doctor Name: | MS. KAREN L CHOLLAK |
| NPI Number: | 1073691515 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CAP-OO4A |
| License Number: | CAP-OO4-A |
| Business Practice Address: | 1414 9th St Rock Springs, WY - 829016002 |
| Business Phone Number: | 3073526685 |
| Business Fax Number: | 3073526686 |
| Mailing Address: | 1414 9th St, ROCK SPRINGS |
| State: | WY |
| Postal Code: | 829016002 |
| Phone Number: | 3073526685 |
| Fax Number: | 3073526686 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CAP-OO4-A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |