| Jeremy R Koehl, MSSW, LCSW,CADCIII | |
|
21 West Omaha Street, Washburn, WI 54891-0036 | |
| (715) 373-0160 | |
| (715) 373-0162 |
| Full Name | Jeremy R Koehl |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 21 West Omaha Street, Washburn, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972714053 | NPI | - | NPPES |
| 39246100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10748 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 2257-123 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy R Koehl, MSSW, LCSW,CADCIII 21 West Omaha Street, Washburn, WI 54891-0036 Ph: (715) 373-0160 | Jeremy R Koehl, MSSW, LCSW,CADCIII 21 West Omaha Street, Washburn, WI 54891-0036 Ph: (715) 373-0160 |
Antoinette L Basile, MS.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 West Omaha Street, Washburn, WI 54891 Phone: 715-373-0160 Fax: 715-373-0162 | |
Andrew James Sauter Sargent, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 W Omaha St, Washburn, WI 54891 Phone: 920-915-7548 | |
Barbara J Snyder, MSED LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Thompson Rd, Washburn, WI 54891 Phone: 715-373-2233 Fax: 715-373-5530 | |
Joann M Krohn Bailey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 West Omaha Street, Washburn, WI 54891 Phone: 715-373-0160 Fax: 715-373-0162 | |
Samuel F Christman, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Superior Ave Ste D, Washburn, WI 54891 Phone: 715-373-2233 Fax: 715-373-5530 | |
Benjamin Britain, LPC Counselor Medicare: Medicare Enrolled Practice Location: 320 Superior Ave, Washburn, WI 54891 Phone: 715-373-2233 | |
Todd L Swanson, MSED LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Thompson Rd, Washburn, WI 54891 Phone: 715-373-2233 Fax: 715-373-5530 |