Organization
LISA A KOEHLER LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A KOEHLER LLC (THERAPIST)
(630) 360-8416
Entity
Organization
Contact information
Practice address
115 CAMPBELL ST STE 101, GENEVA, IL 60134-2785
(630) 360-8416
Mailing address
115 CAMPBELL ST STE 101, GENEVA, IL 60134-2785
(630) 360-8416
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149007312
IL
Other
Enumeration date
05/16/2018
Last updated
01/30/2021
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