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Individual

ROBERT KOLEY JR.

Active
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Individual

ROBERT KOLEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED.

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
522
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1260
NE
101YP2500X
Professional Counselor
485
NE

Other

Enumeration date
07/10/2015
Last updated
07/10/2015
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