Individual
NICHOLAS THOMAS KOLOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
129 SEA GREEN DR, BERLIN, CT 06037-4095
(860) 989-5662
Mailing address
74 EAST ST, PLAINVILLE, CT 06062-2367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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