person
Debra A Koltis, MS,LPC,SAC,NCC
Professional Counselor in Thorp, Wisconsin
NPI 1063584225

Debra A Koltis is a Professional Counselor based in Thorp, WI and is specialized in Professional. Debra A Koltis practices in Thorp, WI and has the professional credentials of MS,LPC,SAC,NCC. The NPI Number for Debra A Koltis is 1063584225 and holds a License No. 15167 (Wisconsin).

The current practice location address for Debra A Koltis is W10274 Eddy Rd, Thorp, WI and can be reached out via phone at 715-497-6478.

Location: W10274 Eddy Rd, Thorp, WI, 54771-7626
person
Provider Profile Details
NPI Number
1063584225
Provider Name
Debra A Koltis
Credential
MS,LPC,SAC,NCC
Provider Entity Type
Individual
Gender
Female
Address
W10274 Eddy Rd, Thorp, WI, 54771-7626
Phone Number
715-497-6478
Fax Number
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
409-78700 05 WI
93156 01 WI SECURITY HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
W10274 Eddy Rd
City
State
Zip
54771-7626
Phone Number
715-497-6478
Fax Number
person
Provider Business Mailing Address Details
Address
W10274 Eddy Rd
City
State
Zip
54771-7626
Phone Number
715-497-6478
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3438-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3438-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
15167 (Wisconsin)
Definition
Definition to come...
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