Provider Demographics
NPI:1235272147
Name:KOLBE, JAMES LYNN (LPC, LLP, FLE)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LYNN
Last Name:KOLBE
Suffix:
Gender:M
Credentials:LPC, LLP, FLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2590 BENSTON RD
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49461-9523
Mailing Address - Country:US
Mailing Address - Phone:231-893-8336
Mailing Address - Fax:231-893-8336
Practice Address - Street 1:516 E COLBY ST
Practice Address - Street 2:SUITE 1
Practice Address - City:WHITEHALL
Practice Address - State:MI
Practice Address - Zip Code:49461-1104
Practice Address - Country:US
Practice Address - Phone:231-893-8336
Practice Address - Fax:231-981-5277
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL905346101YP2500X
MIL705120103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional