Koloski, Ingri Suzanne

Koloski, Ingri Suzanne is an sole proprietor health care provider with primary practice located at 8969 West Hepburn Lane , Garden City ID 83714. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Koloski, Ingri Suzanne can be contacted via phone (208) 972-4981.

Contact Information

Primary practice address
8969 West Hepburn Lane Garden City ID 83714
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-4252 Idaho

Profile Details

NPI number 1063816007
LBN Legal business name Koloski, Ingri Suzanne
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2014
Last updated Oct 20th, 2014 - about 12 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 1063816007 NPPES
Idaho Other W 68721 ENTITY

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