Kohal, Amanda Joy

Kohal, Amanda Joy is an sole proprietor health care provider with primary practice located at 6040 W Lisbon Ave Ste 200 , Milwaukee WI 53210-2116. She 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 / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Kohal, Amanda Joy can be contacted via phone (414) 447-9890.

Contact Information

Primary practice address
6040 W Lisbon Ave Ste 200 Milwaukee WI 53210-2116
Phone: (414) 447-9890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13847-130 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 77-226 Wisconsin

Profile Details

NPI number 1750412128
LBN Legal business name Kohal, Amanda Joy
Credentials MS, SAC-IT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
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 1750412128 NPPES
Wisconsin Other 77-226 PROFESSIONAL COUNSELOR TR
Wisconsin Other 13847-130 PROFESSIONAL COUNSELOR TR

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