Provider Demographics
NPI:1033862818
Name:KOLBERG, ARMAND II (CDC1)
Entity Type:Individual
Prefix:MR
First Name:ARMAND
Middle Name:
Last Name:KOLBERG
Suffix:II
Gender:M
Credentials:CDC1
Other - Prefix:MR
Other - First Name:AJ
Other - Middle Name:
Other - Last Name:KOLBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3230 C ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3918
Mailing Address - Country:US
Mailing Address - Phone:907-865-9653
Mailing Address - Fax:
Practice Address - Street 1:3230 C ST STE 100
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3918
Practice Address - Country:US
Practice Address - Phone:907-865-9653
Practice Address - Fax:907-865-9124
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK4654101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)