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Individual
MS. JILL KOEHN
Active
Individual
MS. JILL KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
329
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD671
CO
101YM0800X
Mental Health Counselor
Primary
2427
CO
101YM0800X
Mental Health Counselor
841
WY
101YM0800X
Mental Health Counselor
CCMH0183381
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48984299
—
NM
Enumeration date
07/13/2007
Last updated
11/15/2022
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