Provider Demographics
NPI:1689939373
Name:DOLATOSKI, MICHAEL P (LPC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:P
Last Name:DOLATOSKI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 S 2ND ST
Mailing Address - Street 2:SUITE 2F
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1612
Mailing Address - Country:US
Mailing Address - Phone:717-782-2750
Mailing Address - Fax:717-782-4761
Practice Address - Street 1:2501 N 3RD ST
Practice Address - Street 2:2ND FLOOR LANDIS
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-1904
Practice Address - Country:US
Practice Address - Phone:717-782-2750
Practice Address - Fax:717-782-4761
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009844101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional