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Individual
MARK ALAN KOENIG
Active
Individual
MARK ALAN KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004745
NHP
MA
01
—
1303287
MBHP
MA
05
—
1303287
—
MA
01
—
703136
TUFTS
MA
01
—
99618201
NETWORK HLTH
—
01
—
M18633
BCBS
MA
01
—
NP01332
BMC
MA
Enumeration date
01/29/2007
Last updated
07/08/2007
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