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General NPI Number Information
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NPI Number | 1437079803
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Entity Type | Individual
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Provider Name | NICHOLAS KOLATSKI LPC-IT
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Gender | Male
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 8440 W NATIONAL AVE
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City | WEST ALLIS
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State | WI
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Zip | 53227-1734
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Country | US
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Telephone | 414-405-1682
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Fax |
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Provider Business Mailing Address
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Address Line | 1640 S 82ND ST
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City | WEST ALLIS
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State | WI
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Zip | 53214-4423
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9194-226
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License Number State | WI
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