Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Samantha Rose Koehn, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033697800

MS. Samantha Rose Koehn, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018

Practice location Address checks out

1701 Dousman St
Green Bay, WI 54303-3211
Phone: (920) 498-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 18608-130 (WI)

Record details

NPI number1033697800
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedAugust 2, 2018
Last updated in NPPESAugust 2, 2018

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