Nicholas C Kolodiy, LPC | |
81 Overington Ave, Marlton, NJ 08053-1838 | |
(609) 744-9398 | |
Not Available |
Full Name | Nicholas C Kolodiy |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 81 Overington Ave, Marlton, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619055944 | NPI | - | NPPES |
0048844 | Medicaid | NJ | |
4144007 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00306900 (New Jersey) | Primary |
Entity Name | Rutgers Health Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891956298 PECOS PAC ID: 2466346770 Enrollment ID: O20040419001021 |
Mailing Address | Practice Location Address |
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Nicholas C Kolodiy, LPC 81 Overington Ave, Marlton, NJ 08053-1838 Ph: (609) 744-9398 | Nicholas C Kolodiy, LPC 81 Overington Ave, Marlton, NJ 08053-1838 Ph: (609) 744-9398 |
Sean Stephen Kelly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 651 Nj-73, Suite 303, Marlton, NJ 08053 Phone: 856-396-0111 | |
Mr. Robert Bruce Haynes, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2001a Lincoln Drive West, Marlton, NJ 08053 Phone: 609-417-7300 Fax: 856-988-2998 | |
Mrs. Keisha Katrice Sparrow, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 222 Shady Ln, Marlton, NJ 08053 Phone: 609-678-6636 | |
Janet E. Coyle, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 11000 Lincoln Dr W, Suite 5, Marlton, NJ 08053 Phone: 856-985-4300 Fax: 856-985-4313 | |
Jean Marie Calderone, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 773 Route 70 E Ste E100, Marlton, NJ 08053 Phone: 856-942-3700 | |
Ms. Sharnessa Bond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Gaylord Ln, Marlton, NJ 08053 Phone: 856-983-7208 | |
Christine M Bonaventura, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 54 S Maple Ave, Marlton, NJ 08053 Phone: 609-923-6328 |