Kolodiy, Nicholas C

Kolodiy, Nicholas C is an individual health care provider with primary practice located at 81 Overington Ave , Marlton NJ 08053-1838. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Kolodiy, Nicholas C can be contacted via phone (609) 744-9398.

Contact Information

Primary practice address
81 Overington Ave Marlton NJ 08053-1838
Phone: (609) 744-9398
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00306900 New Jersey

Profile Details

NPI number 1619055944
LBN Legal business name Kolodiy, Nicholas C
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Oct 24th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619055944 NPPES
New Jersey MEDICAID 0048844
New Jersey MEDICAID 4144007

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