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Jack Brian Koehrsen, MA,LPC,LPCC
Counselor in Weirton, West Virginia
NPI 1417905191

Jack Brian Koehrsen is a Counselor based in Weirton, WV. Jack Brian Koehrsen practices in Weirton, WV and has the professional credentials of MA,LPC,LPCC. The NPI Number for Jack Brian Koehrsen is 1417905191 and holds a License No. 1056 (West Virginia).

The current practice location address for Jack Brian Koehrsen is 485 Colliers Way, Weirton, WV and can be reached out via phone at 304-723-4260 and via fax at 304-723-4264.

Location: 485 Colliers Way, Weirton, WV, 26062-5012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417905191
Provider Name
Jack Brian Koehrsen
Credential
MA,LPC,LPCC
Provider Entity Type
Individual
Gender
Male
Address
485 Colliers Way, Weirton, WV, 26062-5012
Phone Number
304-723-4260
Fax Number
304-723-4264
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
337925 01 WV VALUE OPTIONS
HEALTH PLAN 01 OH Y141250A
ANTHEM 01 OH 000000218506
AETNA 01 WV 5014701
institution
Provider Business Practice Location Address Details
Address
485 Colliers Way
City
Weirton
State
West Virginia
Zip
26062-5012
Phone Number
304-723-4260
Fax Number
304-723-4264
person
Provider Business Mailing Address Details
Address
485 Colliers Way
City
Weirton
State
West Virginia
Zip
26062-5012
Phone Number
304-723-4260
Fax Number
304-723-4264
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1056 (West Virginia)
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 supervision for licensure or certification.
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