Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY R KOEHL, MSSW, LCSW,CADCIII
ActiveJEREMY R KOEHL, MSSW, LCSW,CADCIII is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WASHBURN, Wisconsin. NPI 1972714053 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WASHBURN, WI
Registration Details
- NPI Number
- 1972714053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2007 (19.201726389244 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
10748 (WI)2257-123 (WI)
Practice Information
- Address
-
21 WEST OMAHA STREETWASHBURN, WI, 548910036Browse WI providers · Browse ZIP 54891
- Phone
- 7153730160
- Fax
- 7153730162
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.