MR. David Theodore Kolok, LADC

NPI #1942502224 in Essex Junction, Vermont

Provider Information

NPI Number
1942502224
Entity Type
Individual
Name
MR. David Theodore Kolok, LADC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC
Enumeration Date
Nov 19, 2010
Last Updated
Nov 19, 2010

Practice Location

Address
4 JOSEPH LN
State
Vermont
ZIP Code
05452-2273
Phone
(802) 343-6503

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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