Koebler, Suzette Kathryn

Koebler, Suzette Kathryn is an individual health care provider with primary practice located at 1 South Main C/O Genesis Counseling Services , Janesville WI 53547-8010. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Koebler, Suzette Kathryn can be contacted via phone (608) 757-0404.

Contact Information

Primary practice address
1 South Main C/O Genesis Counseling Services Janesville WI 53547-8010
Phone: (608) 757-0404
Fax: (608) 757-2319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2839-125 Wisconsin

Profile Details

NPI number 1821053943
LBN Legal business name Koebler, Suzette Kathryn
Credentials MS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821053943 NPPES
Wisconsin MEDICAID 43552400

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