| Susan Kolb, Inc | |
|
497 Sw Century Dr Ste 102 Bend OR 97702-1167 | |
| (541) 550-8008 | |
| (541) 797-6898 |
| Full Name | Susan Kolb, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 497 Sw Century Dr Ste 102, Bend, Oregon |
| Authorized Official Name and Position | Susan Kolb (PRESIDENT) |
| Authorized Official Contact | 5415508008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Kolb, Inc 1468 Nw Elgin Ave Bend OR 97703-3032 Ph: (541) 550-8008 | Susan Kolb, Inc 497 Sw Century Dr Ste 102 Bend OR 97702-1167 Ph: (541) 550-8008 |
| NPI Number | 1083250849 |
|---|---|
| Provider Enumeration Date | 11/26/2019 |
| Last Update Date | 03/21/2020 |
| Certification Date | 03/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083250849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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