Individual provider · Type 1 NPI

Susan L. Koepnick, LPC

Counselor · Burley, ID

NPI number 1407035959 Active

Practice location

2311 Park Ave, Unit 3 Suite 12
Burley, ID 83318-2170

Call (208) 678-3555 Map

Fax (208) 678-3556

Mailing address

323 Wauna Vista Dr
Burley, ID 83318-3447

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPC-3103 (ID)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1407035959

Susan L. Koepnick, LPC's National Provider Identifier is 1407035959, issued on Nov 1, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Burley, ID. The record was last updated on Nov 1, 2007.