Johnathan Koelsch, LMSW

NPI #1326409913 in Ammon, Idaho

Provider Information

NPI Number: 1326409913
Entity Type: Individual
Name: Johnathan Koelsch, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Mar 10, 2016
Last Updated: Aug 9, 2023

Practice Location

Address: 1675 CURLEW DR
City: Ammon
State: Idaho
ZIP Code: 83406-4850
Phone: (208) 523-5319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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