| Doctor Name: | JOSEPH HENRY KOELZER |
| NPI Number: | 1700296712 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | IN PROCESS |
| Business Practice Address: | 2687 W Valley Rd Friday Harbor, WA - 982508164 |
| Business Phone Number: | 4252758600 |
| Business Fax Number: | 4253203898 |
| Mailing Address: | 2687 W Valley Rd, FRIDAY HARBOR |
| State: | WA |
| Postal Code: | 982508164 |
| Phone Number: | 4252758600 |
| Fax Number: | 4253203898 |
| NPI Enumeration Date: | 04/29/2014 |
| NPI Last Update Date: | 04/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | IN PROCESS |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |