Individual
SUSAN KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
497 SW CENTURY DR STE 102, BEND, OR 97702-1167
(541) 550-8008
(541) 797-6898
Mailing address
1468 NW ELGIN AVE, BEND, OR 97703-3032
(541) 550-8008
(541) 797-6898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1831
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11627604
CAQH
OR
Enumeration date
10/24/2006
Last updated
03/21/2020
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