Individual provider · Type 1 NPI
Mary Koehl, LCSW
Mental Health Counselor · Phoenix, AZ
NPI number
1003933698
Active
Practice location
1715 W Desperado Way
Phoenix, AZ 85085-6329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LCSW-11595 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1003933698
Mary Koehl, LCSW's National Provider Identifier is 1003933698, issued on Mar 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 27, 2014.