Individual provider · Type 1 NPI

Nicholas Bolte

Addiction (Substance Use Disorder) Counselor · Crandon, WI

NPI number 1518449487 Active

Practice location

8201 Mish Ko Swen Dr
Crandon, WI 54520-8631

Mailing address

PO Box 396
Crandon, WI 54520-0396

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18381-130 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1518449487

Nicholas Bolte's National Provider Identifier is 1518449487, issued on Sep 6, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Crandon, WI. The record was last updated on Sep 6, 2018.