Individual
KEVIN ROSS KOELSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
3430 E HIGHWAY 101, PORT ANGELES, WA 98362-9068
(360) 452-4062
(360) 452-4189
Mailing address
3430 E HIGHWAY 101, PORT ANGELES, WA 98362-9068
(360) 452-4062
(360) 452-4189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61488824
WA
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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