Individual provider · Type 1 NPI

Charles Kevin Kolbaba

Mental Health Counselor · Ontario, OR

NPI number 1801382676 Active

Practice location

702 Sunset Dr
Ontario, OR 97914-3121

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1801382676

Charles Kevin Kolbaba's National Provider Identifier is 1801382676, issued on Jul 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ontario, OR. The record was last updated on Jul 5, 2018.