Koebler, Suzette Kathryn
Koebler, Suzette Kathryn is an individual health care provider with primary practice located at 1 South Main C/O Genesis Counseling Services , Janesville WI 53547-8010. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Koebler, Suzette Kathryn can be contacted via phone (608) 757-0404.Contact Information
Primary practice address
1 South Main C/O Genesis Counseling Services
Janesville WI 53547-8010
Phone: (608) 757-0404
Fax: (608) 757-2319
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2839-125 | Wisconsin |
Profile Details
NPI number | 1821053943 |
---|---|
LBN Legal business name | Koebler, Suzette Kathryn |
Credentials | MS, LPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 20th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821053943 | NPPES |
Wisconsin | MEDICAID | 43552400 |
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