Individual
COLLEEN KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 221-3511
(608) 221-3514
Mailing address
201 SUNSET DR, DE FOREST, WI 53532-1123
(608) 495-0869
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1023-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710323365
—
WI
Enumeration date
05/21/2013
Last updated
03/24/2017
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