Individual
NICOLE LEE KOLASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2038 MELVIN ST. SW, WYOMING, MI 49519
(616) 723-7100
Mailing address
2038 MELVIN ST SW, WYOMING, MI 49519-1706
(616) 723-7100
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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