Doctor Name: | VICKY KOLASINSKI |
NPI Number: | 1124233358 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSE, LPC |
License Number: | 928-125 |
Business Practice Address: | 5541 Hwy 10 East Suite B Stevens Point, WI - 54481 |
Business Phone Number: | 7153459690 |
Business Fax Number: | 7153452938 |
Mailing Address: | 5516 Woodland St, STEVENS POINT |
State: | WI |
Postal Code: | 544819372 |
Phone Number: | 7152521451 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 928-125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |