Amanda Joy Kohal in Milwaukee - Addiction (substance Use Disorder)

Amanda Joy Kohal - NPI 1750412128

Amanda Joy Kohal is a Addiction (substance Use Disorder) in Milwaukee, Wisconsin. Amanda Joy Kohal practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Amanda Joy Kohal is 1750412128. The last update date is 2007-07-08.

Amanda Joy Kohal's current location address is 6040 W Lisbon Ave Ste 200, Milwaukee, Wisconsin. You can contact this provider via phone number 4144479890. The mailing address for Amanda Joy Kohal is 6040 W Lisbon Ave Ste 200, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Amanda Joy Kohal
Address 6040 W Lisbon Ave Ste 200, Milwaukee, Wisconsin
Phone Number 4144479890
Fax Number
Sole Proprietor Y
Credentials MS, SAC-IT

NPI Number Detail

NPI Number 1750412128
Provider Enumeration Date 2007-03-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6040 W Lisbon Ave Ste 200
City Milwaukee
State Wisconsin (WI)
Post Code 532102116
Phone Number 4144479890
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 13847-130
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
77-226 WI PROFESSIONAL COUNSELOR TR
13847-130 WI SAC-IT

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FAQs about Amanda Joy Kohal

What is the unique 10-digit identification code assigned to Amanda Joy Kohal by the Centers for Medicare & Medicaid Services?

The Amanda Joy Kohal has been issued the NPI (National Provider Identifier) 1750412128, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Amanda Joy Kohal is geographically located?

The Amanda Joy Kohal is physically situated at the following location: 6040 W Lisbon Ave Ste 200, Milwaukee, WI, 532102116.

What is Amanda Joy Kohal's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Amanda Joy Kohal is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

On what date did Amanda Joy Kohal receive its 1750412128 assignment from the Centers for Medicare & Medicaid Services?

The Amanda Joy Kohal was assigned its 1750412128 on 2007-03-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Amanda Joy Kohal most recently updated or revised?

The information pertaining to Amanda Joy Kohal, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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