NPI 1972714053 JEREMY R KOEHL MSSW, LCSW,CADCIII WASHBURN WI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jeremy R Koehl - NPI: 1972714053

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JEREMY R KOEHL
NPI Number: 1972714053
Entity Type Code: Individual (1)
Gender: M
Credentials: MSSW, LCSW,CADCIII
License Number: 10748
Business Practice Address: 21 West Omaha Street
Washburn, WI - 548910036
Business Phone Number: 7153730160
Business Fax Number: 7153730162
Mailing Address: 21 West Omaha Street,
WASHBURN
State: WI
Postal Code: 548910036
Phone Number: 7153730160
Fax Number: 7153730162
NPI Enumeration Date: 05/24/2007
NPI Last Update Date: 07/09/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number: 10748
Healthcare Provider Taxonomy:
(Secondary)
X
State: WI
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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