Individual
MEGAN KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
507 S FITNESS PL STE 110, EAGLE, ID 83616-6552
(208) 861-5279
Mailing address
976 DOWNING DR, EAGLE, ID 83616-4742
(208) 861-5279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5767
ID
Other
Enumeration date
01/04/2020
Last updated
01/04/2020
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