JORDAN KOLB

CHIPPEWA FALLS, WI
NPI1134619034
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  17624-130)
Enumeration Date2018-05-16
Last Update Date2018-05-16
Business Address
JORDAN KOLB SAC-IT
2661 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 54729-5407
Phone number: 715-723-5585
Mailing Address
JORDAN KOLB SAC-IT
2661 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 54729-5407
Phone number: