Michael D Kolasa, LPC
Michael D Kolasa, LPC is a Mental Health Counselor in Fairbanks, Alaska. Qualified in 2015, 11 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Alaska.
- Years since qualifying
- 11
- Licensed in
- AK
- In the registry since
- 2017
What do these letters mean?
- LPC — Licensed Professional Counselor
- A licensed mental health counsellor.
Practice location Address checks out
600 University Ave Ste 5Fairbanks, AK 99709
Phone: (907) 347-1989
Fax: (907) 459-8201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 122176 (AK) |
|---|
Record details
| NPI number | 1467979724 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPC |
| Sole proprietor | Yes |
| NPI enumerated | August 28, 2017 |
| Last updated in NPPES | February 4, 2020 |
| Certification date | February 4, 2020 |
| Mailing address | Po Box 72461, Fairbanks, AK 99707-2461 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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