Jackie F Kolstad-Blancha in South Bend - Counselor
Jackie F Kolstad-Blancha - NPI 1740310895
Jackie F Kolstad-Blancha is a Counselor in South Bend, Indiana. Jackie F Kolstad-Blancha practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jackie F Kolstad-Blancha is 1740310895. The last update date is 2007-07-08.
Jackie F Kolstad-Blancha's current location address is 403 E Madison St, South Bend, Indiana. You can contact this provider via phone number 5742831107 and fax number 5742831131. The mailing address for Jackie F Kolstad-Blancha is 403 E Madison St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie F Kolstad-Blancha |
|---|---|
| Address | 403 E Madison St, South Bend, Indiana |
| Phone Number | 5742831107 |
| Fax Number | 5742831131 |
| Sole Proprietor | N |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1740310895 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 403 E Madison St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172322 |
| Phone Number | 5742831107 |
| Fax Number | 5742831131 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the Jackie F Kolstad-Blancha's 1740310895?
The Jackie F Kolstad-Blancha's NPI (National Provider Identifier) Number is 1740310895. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jackie F Kolstad-Blancha's facilities are geographically located?
The facilities of Jackie F Kolstad-Blancha are physically situated at the following location: 403 E Madison St, South Bend, IN, 466172322.
What is Jackie F Kolstad-Blancha's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jackie F Kolstad-Blancha is Counselor, and the corresponding taxonomy classification code for this specialized field is 101Y00000X.
On what date did Jackie F Kolstad-Blancha receive its 1740310895 assignment from the Centers for Medicare & Medicaid Services?
The Jackie F Kolstad-Blancha was assigned its 1740310895 on 2007-03-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jackie F Kolstad-Blancha most recently updated or refreshed?
The details pertaining to the Jackie F Kolstad-Blancha, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.