Kolstad, Jill

Kolstad, Jill is an sole proprietor health care provider with primary practice located at 6205 Fallow Ct , Fort Worth TX 76132-3544. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Kolstad, Jill can be contacted via phone (903) 724-9985.

Contact Information

Primary practice address
6205 Fallow Ct Fort Worth TX 76132-3544
Phone: (903) 724-9985
Fax: (817) 423-0787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 495743 Texas
Other Service Providers / Specialist 174400000X 495743 Texas

Profile Details

NPI number 1790042596
LBN Legal business name Kolstad, Jill
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2012
Last updated Apr 18th, 2012 - about 14 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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