| Timothy Koehler, PRSS | |
|
142 Cross Lanes Dr, Nitro, WV 25143-1007 | |
| (304) 769-8484 | |
| Not Available |
| Full Name | Timothy Koehler |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 142 Cross Lanes Dr, Nitro, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538975222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 24-9168 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Koehler, PRSS 142 Cross Lanes Dr, Nitro, WV 25143-1007 Ph: (304) 769-8484 | Timothy Koehler, PRSS 142 Cross Lanes Dr, Nitro, WV 25143-1007 Ph: (304) 769-8484 |
Allison Jo Samples, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Williams Dr, Nitro, WV 25143 Phone: 304-553-2663 | |
Mrs. Michalene Marie Ebbert, M.A.,LPC.ALPS.RTT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 234 Lee Ave, Nitro, WV 25143 Phone: 304-201-2095 Fax: 304-201-2096 |