Individual provider · Type 1 NPI
Kathleen Gussler Koepke, MSSW, LICSW
Mental Health Counselor · Wautoma, WI
NPI number
1295834539
Active
Practice location
230 W Park St
Wautoma, WI 54982-9031
Fax (920) 787-0421
Mailing address
230 Park St, PO Box 1230
Wautoma, WI 54982-9031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2337 (WI) |
| Clinical Social Worker | 1041C0700X | 2337-123 (WI) |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Wautoma
- Bethany J. Walker, APSWMental Health Counselor Wautoma, WI NPI 1093536062
- Paul Francis Theyel, CICSWMental Health Counselor Wautoma, WI NPI 1154429462
- Kimberly Fairchild, LPCMental Health Counselor Wautoma, WI NPI 1225424286
- Randi Davis, LPCITMental Health Counselor Wautoma, WI NPI 1659728038
- Whitney Allison Golding, APSWMental Health Counselor Wautoma, WI NPI 1689433047
- Virginia Ellen Moon, M.S.Mental Health Counselor Wautoma, WI NPI 1780919506
About NPI 1295834539
Kathleen Gussler Koepke, MSSW, LICSW's National Provider Identifier is 1295834539, issued on Sep 22, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wautoma, WI. The record was last updated on Jul 9, 2015.