Debra A Koltis in Thorp - Addiction (substance Use Disorder)
Debra A Koltis - NPI 1063584225
Debra A Koltis is a Addiction (substance Use Disorder) in Thorp, Wisconsin. Debra A Koltis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Debra A Koltis is 1063584225. The last update date is 2020-04-17.
Debra A Koltis's current location address is W10274 Eddy Rd, Thorp, Wisconsin. You can contact this provider via phone number 7154976478. The mailing address for Debra A Koltis is W10274 Eddy Rd, Thorp, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra A Koltis |
|---|---|
| Address | W10274 Eddy Rd, Thorp, Wisconsin |
| Phone Number | 7154976478 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS,LPC,SAC |
NPI Number Detail
| NPI Number | 1063584225 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2020-04-17 |
Provider Mailing Address Detail
| Address | W10274 Eddy Rd |
|---|---|
| City | Thorp |
| State | Wisconsin (WI) |
| Post Code | 547717626 |
| Phone Number | 7154976478 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 15167 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 409-78700 | WI | -- | |
| 93156 | WI | SECURITY HEALTH PLAN |
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What is the unique identification code assigned to Debra A Koltis by the Centers for Medicare & Medicaid Services?
The Debra A Koltis has been issued the NPI (National Provider Identifier) 1063584225. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Debra A Koltis located?
The Debra A Koltis is located at W10274 Eddy Rd, Thorp, WI 547717626.
What is the Debra A Koltis's specialty and taxonomy code?
The Debra A Koltis's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When was the Debra A Koltis's 1063584225 issued?
The Debra A Koltis's 1063584225 was issued on 2006-11-14.
When was the information pertaining to Debra A Koltis most recently updated or revised?
The details related to Debra A Koltis, including its address, specialty, and other relevant information, were last updated or revised on 2020-04-17.