Individual
LINDSAY KOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 664-2156
Mailing address
1169 W WATER ST, ELMIRA, NY 14905-2046
(607) 425-9414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30569
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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