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
- City
- Weirton
- State
- West Virginia
- ZIP Code
- 26062-5012
- Phone
- (304) 723-4260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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