Individual
MS. SUZETTE KATHRYN KOEBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1 SOUTH MAIN C/O GENESIS COUNSELING SERVICES, JANESVILLE, WI 53547-8010
(608) 757-0404
(608) 757-2319
Mailing address
1822 HOLLY DRIVE, JANESVILLE, WI 53546
(608) 563-0048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2839-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43552400
—
WI
Enumeration date
04/20/2006
Last updated
07/08/2007
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