Susan L Koepnick is a Counselor in Burley, Idaho. Susan L Koepnick practices all healthcare services and medical treatments related to Counselor. The NPI Number for Susan L Koepnick is 1407035959. The last update date is 2007-11-01.
Susan L Koepnick's current location address is 323 Wauna Vista Dr, Burley, Idaho. You can contact this provider via phone number 2087311711 and fax number 2086783556. The mailing address for Susan L Koepnick is 323 Wauna Vista Dr, Burley, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan L Koepnick |
|---|---|
| Address | 323 Wauna Vista Dr, Burley, Idaho |
| Phone Number | 2087311711 |
| Fax Number | 2086783556 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1407035959 |
|---|---|
| Provider Enumeration Date | 2007-11-01 |
| Last Updated Date | 2007-11-01 |
Provider Mailing Address Detail
| Address | 323 Wauna Vista Dr |
|---|---|
| City | Burley |
| State | Idaho (ID) |
| Post Code | 833183447 |
| Phone Number | 2087311711 |
| Fax Number | 2086783556 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | LPC-3103 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LPC-3103 | ID | STATE OF IDAHO |
Post Comment/ Review Below
What is the Susan L Koepnick's unique identification number?
The Susan L Koepnick has been assigned the NPI (National Provider Identifier) Number 1407035959 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Susan L Koepnick's facilities are situated?
The facilities of Susan L Koepnick are physically located at the following address: 323 Wauna Vista Dr, Burley, ID, 833183447.
What is Susan L Koepnick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan L Koepnick is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
When was the Susan L Koepnick's 1407035959 issued?
The Susan L Koepnick's 1407035959 was issued on 2007-11-01.
When was the information pertaining to Susan L Koepnick most recently updated or revised?
The details related to Susan L Koepnick, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-01.
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