Individual
MRS. MICHELLE J. KOERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC
Contact information
Practice address
1310 HRC PLAZA DR, LAKE ST LOUIS, MO 63367-1869
(636) 339-4475
(636) 201-3379
Mailing address
8 PITTSFIELD CT, CHESTERFIELD, MO 63017-2040
(314) 330-3891
(314) 830-6246
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002488
MO
101YP2500X
Professional Counselor
MH21728
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499774008
—
MO
Enumeration date
01/22/2007
Last updated
06/28/2024
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