Individual
MS. THERESA KOLBECK
Active
Individual
MS. THERESA KOLBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007510A
—
KS
05
—
1265406136
—
MO
Enumeration date
08/17/2015
Last updated
08/17/2015
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