# MR. EMIL JAY KOLICK VIII

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134518905
- **Gender:** Man
- **Credential:** M.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | I0147 | PA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 4498 | PA | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 4759 | PA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | FAC-K1308300929 | NULL | — |

## Other

- **Enumeration date:** 01/16/2015
- **Last updated:** 01/16/2015