Jack Brian Koehrsen, MA, LPC, LPCC

NPI #1417905191 in Weirton, West Virginia

Provider Information

NPI Number
1417905191
Entity Type
Individual
Name
Jack Brian Koehrsen, MA, LPC, LPCC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Counselor
Credential
MA, LPC, LPCC
Enumeration Date
May 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
485 COLLIERS WAY
Address 2
SUITE C
ZIP Code
26062-5012
Phone
(304) 723-4260

Specialties & Taxonomy Codes

Specialty
Counselor

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