Individual
JENNA BETH KOESTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
720 ARMSTRONG ST, SAINT MARYS, OH 45885-1800
(419) 394-7451
(419) 394-8051
Mailing address
720 ARMSTRONG ST, SAINT MARYS, OH 45885-1800
(419) 394-7451
(419) 394-8051
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1901819
OH
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295403
—
OH
Enumeration date
04/24/2018
Last updated
04/15/2019
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