| Doctor Name: | MR. ROBERT D KOHLES |
| NPI Number: | 1063584159 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA LMHP LIMHP CPC |
| License Number: | 657 |
| Business Practice Address: | 1903 4th Corso Blue Valley Mental Health Center Nebraska City, NE - 68410 |
| Business Phone Number: | 4028735505 |
| Business Fax Number: | |
| Mailing Address: | 437 North 12th Rd, PALMYRA |
| State: | NE |
| Postal Code: | 68418 |
| Phone Number: | 4027805558 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 01/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 657 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |