| Ms Kathleen Gussler Koepke, MSSW, LICSW | |
|
230 W Park St, Wautoma, WI 54982-9031 | |
| (920) 787-6550 | |
| (920) 787-0421 |
| Full Name | Ms Kathleen Gussler Koepke |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 230 W Park St, Wautoma, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295834539 | NPI | - | NPPES |
| 39654800 | Medicaid | WI | |
| 84306005 | Other | WI | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2337 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 2337-123 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kathleen Gussler Koepke, MSSW, LICSW 230 Park St, Po Box 1230, Wautoma, WI 54982-9031 Ph: (920) 787-6550 | Ms Kathleen Gussler Koepke, MSSW, LICSW 230 W Park St, Wautoma, WI 54982-9031 Ph: (920) 787-6550 |
Debra Jodarski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: N4107 13th Ln, Wautoma, WI 54982 Phone: 920-787-2725 | |
Mr. Patrick Isenberger, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-6550 | |
Andrea Lee Behnke, APSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421 | |
Ms. Bethany J Walker, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421 | |
Mr. Paul Francis Theyel, CICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421 | |
Kimberly Fairchild, LPC Counselor Medicare: Medicare Enrolled Practice Location: 400 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-5514 | |
Veronica Eckstein, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-5514 Fax: 920-787-4737 |