| Doctor Name: | EDDIE KONOLD |
| NPI Number: | 1013260751 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., L.P.C., CAC II |
| License Number: | 0011137 |
| Business Practice Address: | 737 Lincoln Blvd Steamboat Springs, CO - 804770489 |
| Business Phone Number: | 9708464620 |
| Business Fax Number: | |
| Mailing Address: | Po Box 770489, STEAMBOAT SPRINGS |
| State: | CO |
| Postal Code: | 804770489 |
| Phone Number: | 9708464620 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2012 |
| NPI Last Update Date: | 10/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0011137 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |