Individual
GRETCHEN A KOEHNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2016 VADALABENE DR STE A, MARYVILLE, IL 62062-6901
(618) 960-5750
(618) 288-0737
Mailing address
1301 WAVERLY DR, COLLINSVILLE, IL 62234-2949
(618) 960-5750
(618) 288-0737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008111
IL
Other
Enumeration date
02/08/2012
Last updated
05/15/2012
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