Individual
AMANDA MARIE KOLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
101 W EVERGREEN PKWY STE 1, ELKHORN, WI 53121-4083
(262) 475-5684
Mailing address
311 W COURT ST, ELKHORN, WI 53121-1652
(414) 651-8612
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7124226
WI
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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