Amie Koehnlein, LPC | |
1120 Main St, Union Grove, WI 53182 | |
(262) 634-2391 | |
Not Available |
Full Name | Amie Koehnlein |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1120 Main St, Union Grove, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912441569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3069-226 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
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Amie Koehnlein, LPC 1120 Main St, Union Grove, WI 53182-1328 Ph: () - | Amie Koehnlein, LPC 1120 Main St, Union Grove, WI 53182 Ph: (262) 634-2391 |
Julie Ann Gotsch, CMHC- MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Main St Ste 1, Union Grove, WI 53182 Phone: 262-864-5045 | |
Valerie Buisse, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4330 Conifer Ct, Union Grove, WI 53182 Phone: 262-210-9131 | |
Brandon Kevin Caldwell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 State St Unit 101a, Union Grove, WI 53182 Phone: 773-655-8579 | |
Elizabeth M Armstrong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1012 State St Unit 208e, Union Grove, WI 53182 Phone: 708-518-1837 | |
Ms. Amanda Marie Czajkowski, MS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Main St # 2, Union Grove, WI 53182 Phone: 262-939-2955 |