Individual
NICHOLAS C KOLODIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
81 OVERINGTON AVE, MARLTON, NJ 08053-1838
(609) 744-9398
Mailing address
81 OVERINGTON AVE, MARLTON, NJ 08053-1838
(609) 744-9398
(856) 810-0819
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00306900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048844
—
NJ
05
—
4144007
—
NJ
Enumeration date
11/02/2006
Last updated
10/24/2012
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