Individual provider · Type 1 NPI

Tanya Renee Koelker, LCPC

Professional Counselor · Belleville, IL

NPI number 1902638653 Active

Practice location

12 Sundew Dr
Belleville, IL 62221-4356

Call (618) 581-8802 Map

Mailing address

115 Lincoln Place Ct Ste 102
Belleville, IL 62221-5876

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180011458 (IL)

Professional Counselor: Definition to come...

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About NPI 1902638653

Tanya Renee Koelker, LCPC's National Provider Identifier is 1902638653, issued on Aug 19, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Belleville, IL. The record was last updated on Jan 23, 2025.