person
Jackie F Kolstad-blanchaed, MA
Counselor in South Bend, Indiana
NPI 1740310895

Jackie F Kolstad-blanchaed is a Counselor based in South Bend, IN. Jackie F Kolstad-blanchaed practices in South Bend, IN and has the professional credentials of MA. The NPI Number for Jackie F Kolstad-blanchaed is 1740310895 and holds a License No. (Indiana).

The current practice location address for Jackie F Kolstad-blanchaed is 403 E Madison St, South Bend, IN and can be reached out via phone at 574-283-1107 and via fax at 574-283-1131. You can also correspond with Jackie F Kolstad-blanchaed through the mailing address at 403 E MADISON ST, SOUTH BEND, IN - 46617-2322 (mailing address contact number: 574-283-1107).

Location: 403 E Madison St, South Bend, IN, 46617-2322
person
Provider Profile Details
NPI Number
1740310895
Provider Name
Jackie F Kolstad-blanchaed
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
403 E Madison St, South Bend, IN, 46617-2322
Phone Number
574-283-1107
Fax Number
574-283-1131
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
403 E Madison St
City
State
Zip
46617-2322
Phone Number
574-283-1107
Fax Number
574-283-1131
person
Provider Business Mailing Address Details
Address
403 E Madison St
City
State
Zip
46617-2322
Phone Number
574-283-1107
Fax Number
574-283-1131
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
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 supervision for licensure or certification.
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