Individual
MICHAEL J KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
13045 FALCON DR STE 100, BAXTER, MN 56425-4201
(218) 829-9307
(218) 829-7649
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1664
MN
101YP2500X
Professional Counselor
2014018659
MO
Other
Enumeration date
04/03/2015
Last updated
10/23/2018
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