Individual
AMIE KOEHNLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1120 MAIN ST, UNION GROVE, WI 53182
(262) 634-2391
Mailing address
1120 MAIN ST, UNION GROVE, WI 53182-1328
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3069-226
WI
Other
Enumeration date
12/15/2016
Last updated
07/02/2018
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