Doctor Name: | MRS. JUDITH ANN KOEHLER |
NPI Number: | 1700114477 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC, NCC |
License Number: | 2007031021 |
Business Practice Address: | 225 S Meramec Ave Ste 404 Saint Louis, MO - 631053511 |
Business Phone Number: | 3142495444 |
Business Fax Number: | 3148635904 |
Mailing Address: | 225 S Meramec Ave Ste 404, SAINT LOUIS |
State: | MO |
Postal Code: | 631053511 |
Phone Number: | 3142495444 |
Fax Number: | 3148635904 |
NPI Enumeration Date: | 11/18/2009 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2007031021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy 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 |