Individual
MICAH D KOLB I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
353 COUNTY ROAD 2934, ALBA, TX 75410-5584
(903) 497-8687
Mailing address
353 COUNTY ROAD 2934, ALBA, TX 75410-5584
(903) 497-8687
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15980
TX
Other
Enumeration date
11/11/2024
Last updated
03/04/2025
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