Koelsch, Johnathan

Koelsch, Johnathan is an sole proprietor health care provider with primary practice located at 1675 Curlew Dr , Ammon ID 83406-4850. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Koelsch, Johnathan can be contacted via phone (208) 523-5319.

Contact Information

Primary practice address
1675 Curlew Dr Ammon ID 83406-4850
Phone: (208) 523-5319
Fax: (208) 523-5627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LMSW-34382 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-38371 Idaho

Profile Details

NPI number 1326409913
LBN Legal business name Koelsch, Johnathan
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2016
Last updated Aug 9th, 2023 - about 2 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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