Doctor Name: | KAREN J KOLTIS |
NPI Number: | 1518039759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,LPC,LMFT,SAC,ICS |
License Number: | 687-125 |
Business Practice Address: | 224 S Broadway St Stanley, WI - 547681011 |
Business Phone Number: | 7156444357 |
Business Fax Number: | 7156445053 |
Mailing Address: | 224 S Broadway St, STANLEY |
State: | WI |
Postal Code: | 547681011 |
Phone Number: | 7156444357 |
Fax Number: | 7156445053 |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 01/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 687-125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |