Provider Demographics
NPI:1699856054
Name:KOLBE, ELIZABETH REJEANA (LPC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:REJEANA
Last Name:KOLBE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 SHORTLEAF CT
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4059
Mailing Address - Country:US
Mailing Address - Phone:970-215-7737
Mailing Address - Fax:
Practice Address - Street 1:1014 SHORTLEAF CT
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-4059
Practice Address - Country:US
Practice Address - Phone:970-215-7737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1966101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO841348279OtherEIN NUMBER