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General NPI Number Information
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NPI Number | 1669163168
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Entity Type | Individual
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Provider Name | MICHELLE KOEWLER LPC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 1 PARK CENTRE DR STE 207
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City | WADSWORTH
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State | OH
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Zip | 44281-9482
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Country | US
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Telephone | 330-725-9195
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Fax | 307-259-1873
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Provider Business Mailing Address
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Address Line | 246 NORTHLAND DR STE 200A
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City | MEDINA
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State | OH
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Zip | 44256-3440
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Country | US
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Telephone | 330-725-9195
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Fax | 307-259-1873
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.2405827
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.2405827
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License Number State | OH
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