Provider Demographics
NPI:1396017422
Name:KOLBERT, KATE (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:KATE
Middle Name:
Last Name:KOLBERT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 CANTERBURY LN
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-1935
Mailing Address - Country:US
Mailing Address - Phone:908-654-6500
Mailing Address - Fax:908-654-6645
Practice Address - Street 1:37 CANTERBURY LN
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-1935
Practice Address - Country:US
Practice Address - Phone:908-654-6500
Practice Address - Fax:908-654-6645
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00011000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37PC00011000OtherSTATE LICENSE