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Individual
JACK BRIAN KOEHRSEN
Active
Individual
JACK BRIAN KOEHRSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LPCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1056
WV
101Y00000X
Counselor
E0001217
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
337925
VALUE OPTIONS
WV
01
—
AETNA
5014701
WV
01
—
ANTHEM
000000218506
OH
01
—
HEALTH PLAN
Y141250A
OH
Enumeration date
05/04/2006
Last updated
07/13/2026
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