Individual
REBECCA LYNN KOLSSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 WOODMAN DR STE 330, DAYTON, OH 45432-1410
(614) 487-8758
Mailing address
1020 WOODMAN DR STE 330, DAYTON, OH 45432-1410
(614) 487-8758
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2103888
OH
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/04/2021
Last updated
02/25/2022
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