Organization
JOURNEY TO A TRAUMA-INFORMED LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JACKSON KOEHLER PHD, LCSW (PARTNER)
(814) 397-7480
Entity
Organization
Contact information
Practice address
201 W 11TH ST, ERIE, PA 16501-1701
(814) 397-7480
(814) 315-9564
Mailing address
201 W 11TH ST, ERIE, PA 16501-1701
(814) 397-7480
(814) 315-9564
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/08/2019
Last updated
09/26/2022
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