Susan L Koepnick LPC

NPI 1407035959 - Counselor - 101Y00000X

NPI Details
NPI 1407035959
Gender Female
Enumeration Date 11/01/2007
Last Updated 11/01/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2311 PARK AVE
UNIT 3 SUITE 12
BURLEY ID, 83318-2170, US
Phone (208) 678-3555
Fax (208) 678-3556
Business Location
323 WAUNA VISTA DR
BURLEY ID, 83318-3447, US
Phone (208) 731-1711
Fax (208) 678-3556
Toxanomy
Taxonomy Code 101Y00000X
License State Idaho
License Number LPC-3103
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According to our database, Susan L Koepnick LPC NPI is 1407035959, taxonomy code is 101Y00000X and license number is LPC-3103, license state is located at Idaho. Susan L Koepnick LPC physically located at 2311 Park Ave, Burley ID, 83318-2170. NPI Number Susan L Koepnick LPC has the Individual type.

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1407035959 NPI number is provided on an as is basis without warranty of any kind. 1407035959 is maintained by the National Plan & Provider Enumeration System. The contents of Susan L Koepnick LPC are for informational purposes only.