Individual provider · Type 1 NPI
Philip Kolba, MA LPC NCC
Mental Health Counselor · Portland, OR
NPI number
1053658807
Active
Practice location
818 SW 3rd Ave Ste 221-9687
Portland, OR 97204-2405
Fax (503) 388-3082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1053658807
Philip Kolba, MA LPC NCC's National Provider Identifier is 1053658807, issued on Jan 14, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 28, 2019.