Individual
MR. CHARLES PETER KOENINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, SAC
Contact information
Practice address
W247S10395 CENTER DR, MUKWONAGO, WI 53149-9166
(262) 662-5900
(262) 662-5688
Mailing address
N88W17545 CHRISTMAN RD, MENOMONEE FALLS, WI 53051-2600
(262) 251-5128
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12673-131
WI
1041C0700X
Clinical Social Worker
1841-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39755000
—
WI
Enumeration date
05/03/2007
Last updated
09/11/2025
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