Doctor Name: | ELIZABETH REJEANA KOLBE |
NPI Number: | 1699856054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1966 |
Business Practice Address: | 548 Mountain Avenue Berthoud, CO - 80513 |
Business Phone Number: | 9705324755 |
Business Fax Number: | 9705324755 |
Mailing Address: | 548 Mountain Ave, P.o. Box 1258 BERTHOUD |
State: | CO |
Postal Code: | 80513 |
Phone Number: | 9705324755 |
Fax Number: | 9705321368 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 10/02/2008 |
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: |