Individual
DR. JERED BENJAMIN KOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2121 NOBLESTOWN RD STE 201, PITTSBURGH, PA 15205-3956
(412) 920-4200
(412) 920-4200
Mailing address
2121 NOBLESTOWN RD STE 201, PITTSBURGH, PA 15205-3956
(412) 920-4200
(412) 920-0630
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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