Koolick, Delia Melissa

Koolick, Delia Melissa is an individual health care provider with primary practice located at 5701 Kentucky Ave N Ste 201 , Crystal MN 55428-3394. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koolick, Delia Melissa can be contacted via phone (763) 568-7223.

Contact Information

Primary practice address
5701 Kentucky Ave N Ste 201 Crystal MN 55428-3394
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1225641848
LBN Legal business name Koolick, Delia Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2020
Last updated Aug 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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