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Individual

BRAD A. KOLANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., LMFT

Contact information

Practice address
505 SILHAVY RD STE 100, VALPARAISO, IN 46383-4461
(219) 464-1234
Mailing address
505 SILHAVY RD STE 100, VALPARAISO, IN 46383-4461
(219) 464-1234

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
35002036A
IN
106H00000X
Marriage & Family Therapist
4101006591
MI
106H00000X
Marriage & Family Therapist
Primary
4101007426
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/12/2012
Last updated
01/02/2025
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