| Lisa A Koehler Lcsw Llc | |
|
115 Campbell St Ste 101 Geneva IL 60134-2785 | |
| (630) 360-8416 | |
| Not Available |
| Full Name | Lisa A Koehler Lcsw Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 115 Campbell St Ste 101, Geneva, Illinois |
| Authorized Official Name and Position | Lisa A Koehler (THERAPIST) |
| Authorized Official Contact | 6303608416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Koehler Lcsw Llc 115 Campbell St Ste 101 Geneva IL 60134-2785 Ph: (630) 360-8416 | Lisa A Koehler Lcsw Llc 115 Campbell St Ste 101 Geneva IL 60134-2785 Ph: (630) 360-8416 |
| NPI Number | 1174013064 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 01/30/2021 |
| Certification Date | 01/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174013064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149007312 (Illinois) | Primary |
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