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Organization
KOLPIA COUNSELING SERVICES INC
Active
Organization
KOLPIA COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN FOGELMAN LPC, CADC III, MAC (EXECUTIVE DIRECTOR)
(541) 482-1718
Entity
Organization
Contact information
Practice address
611 SISKIYOU BLVD, SUITE 8, ASHLAND, OR 97520-2151
(541) 482-1718
(541) 482-0964
Mailing address
611 SISKIYOU BLVD, SUITE 8, ASHLAND, OR 97520-2151
(541) 482-1718
(541) 482-0964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
101YM0800X
Mental Health Counselor
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001026863
MHN SERVICES
OR
01
—
025136000
BLUE CROSS BLUE SHIELD
OR
01
—
165327
OREGON HEALTH PLAN
OR
01
—
6260118
UNITED HEALTHCARE
OR
01
—
J0314
PACIFIC SOURCE
OR
Enumeration date
10/02/2006
Last updated
04/04/2013
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