| Nicholas Bolte, | |
|
8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 | |
| (715) 478-4300 | |
| Not Available |
| Full Name | Nicholas Bolte |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 8201 Mish Ko Swen Dr, Crandon, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518449487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18381-130 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Bolte, Po Box 396, Crandon, WI 54520-0396 Ph: (715) 478-4300 | Nicholas Bolte, 8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 Ph: (715) 478-4300 |
James Seymour, CSW/CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4332 | |
Jennifer Krzmarcik, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4370 | |
David Rynearson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4300 | |
Karen A Minx, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3144 Vanzile Road, Crandon, WI 54520 Phone: 715-478-5180 Fax: 715-478-5904 | |
Diane M Baird, LICENSED PROFESSIONA Counselor Medicare: Medicare Enrolled Practice Location: 3163 State Hwy 55, Crandon, WI 54520 Phone: 715-478-5180 Fax: 715-478-5904 | |
Jolene A Derfus, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3144 Vanzile Rd, Crandon, WI 54520 Phone: 715-478-5180 |