Individual
MS. INGRI SUZANNE KOLOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8969 WEST HEPBURN LANE, GARDEN CITY, ID 83714
(208) 972-4981
Mailing address
8969 W HEPBURN LN, BOISE, ID 83714-6722
(208) 972-4981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4252
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W 68721
ENTITY
ID
Enumeration date
10/20/2014
Last updated
10/20/2014
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