Kolenda, William Todd

Kolenda, William Todd is an individual health care provider with primary practice located at 1450 E 10Th St , Rolla MO 65401. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Kolenda, William Todd can be contacted via phone (888) 403-1071.

Contact Information

Primary practice address
1450 E 10Th St Rolla MO 65401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2003020071 Missouri

Profile Details

NPI number 1336345404
LBN Legal business name Kolenda, William Todd
Credentials MA, LPC, CCDP-D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Jan 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336345404 NPPES
Missouri MEDICAID 499209500

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