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Individual

MRS. MICHELLE J. KOERNER

Active
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Individual

MRS. MICHELLE J. KOERNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, LPC

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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