Individual
GWENDOLYN KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
78 SOUTH MAIN ST., RUTLAND, VT 05701
(802) 775-8224
(802) 747-7699
Mailing address
P.O. BOX 222, 78 SOUTH MAIN ST., RUTLAND, VT 05701
(802) 775-8224
(802) 747-7699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680078567
VT
101YM0800X
Mental Health Counselor
LH60532248
WA
Other
Enumeration date
06/11/2014
Last updated
10/22/2025
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