Chandler Koehler
Counselor, Mental Health in Spirit Lake, IA. Individual provider (NPI-1).
NPI number1164036323
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1164036323
- Entity type
- Individual (NPI-1)
- Name
- Chandler Koehler
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2020
- Certification date
- Oct 27, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1401 Hill AveSpirit Lake, IA 51360-1333
Phone 800-242-5101
Mailing address
1401 Hill AveSpirit Lake, IA 51360-1333
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