Individual
DR. JERED BENJAMIN KOLBERT
Active
Individual
DR. JERED BENJAMIN KOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
002286
PA
101YP2500X
Professional Counselor
Primary
002286
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002286
LICENSED PROFESSIONAL COUNSELOR (LPC)
PA
Enumeration date
01/02/2018
Last updated
06/16/2018
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