Individual provider · Type 1 NPI
Kent Thomas Kollath, CSAC, CSIT
Addiction (Substance Use Disorder) Counselor · Sheboygan, WI
NPI number
1679748677
Active
Practice location
2911 Main Ave
Sheboygan, WI 53083-3639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15399-132 (WI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15401-133 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1679748677
Kent Thomas Kollath, CSAC, CSIT's National Provider Identifier is 1679748677, issued on Apr 30, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sheboygan, WI. The record was last updated on Jun 1, 2012.