Individual
PAUL KOESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CSAC
Contact information
Practice address
3800 N MAYFAIR RD, WAUWATOSA, WI 53222-2213
(414) 536-8333
(414) 536-8348
Mailing address
3800 N MAYFAIR RD, WAUWATOSA, WI 53222-2213
(414) 536-8333
(414) 536-8348
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2088132
WI
101YP2500X
Professional Counselor
Primary
2915125
WI
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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