Individual
ALICIA KOHLHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
2240 N FOREST RD, WILLIAMSVILLE, NY 14221-1357
(716) 984-3313
Mailing address
2240 N FOREST RD, WILLIAMSVILLE, NY 14221-1357
(716) 344-0809
(716) 847-2715
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
083748
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04353706
—
NY
Enumeration date
07/26/2011
Last updated
09/08/2023
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