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Individual

MOLLIE KALLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSAC, CSIT

Contact information

Practice address
2000 FORDEM AVE, MADISON, WI 53704-4600
(608) 280-2740
Mailing address
353 W JAMES ST, COLUMBUS, WI 53925-1574

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17046-133
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
17063-132
WI
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
11/05/2019
Last updated
07/22/2024
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