Koonz, Pamela Jean
Koonz, Pamela Jean is an individual health care provider with primary practice located at 4810 Northwestern Ave , Racine WI 53406. 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 / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Koonz, Pamela Jean can be contacted via phone (262) 637-9984.Contact Information
Primary practice address
4810 Northwestern Ave
Racine WI 53406
Phone: (262) 637-9984
Fax: (262) 637-9995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1298132 | Wisconsin |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 3908123 | Wisconsin |
Profile Details
| NPI number | 1518006667 |
|---|---|
| LBN Legal business name | Koonz, Pamela Jean |
| Credentials | LCSW CSAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 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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