Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LPC984 | SD |
N | 101YS0200X | School Counselor | LPC984 | SD |
NPI | 1114298247 |
---|---|
Provider Name | Mrs. Constance Elise Kolbrek |
First Address | Sioux Falls, SD 57108-4667 |
Second Address | Sioux Falls, SD 57108-2574 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2012 |
Last Update Date | 18/09/2018 |