Provider Demographics
NPI:1760848493
Name:KOLBO, JAYME (LPCC)
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:
Last Name:KOLBO
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:656 ARMSTRONG AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-3802
Mailing Address - Country:US
Mailing Address - Phone:651-434-5151
Mailing Address - Fax:
Practice Address - Street 1:656 ARMSTRONG AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-3802
Practice Address - Country:US
Practice Address - Phone:651-434-5151
Practice Address - Fax:651-447-5137
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-11
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program