Organization Name: | KOLBE KORNER, LLC |
NPI Number: | 1609923952 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH REJEANA KOLBE (LICENSED PROFESSIONAL COUNSELOR) |
Mailing Address: | 5109 Beverly Dr Berthoud |
State: | CO US |
Postal Code: | 805138603 |
Phone Number: | 9705324755 |
Fax Number: | 9705321368 |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |