Individual
KACIE ELAINE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 TIGNER ST, ANGLETON, TX 77515-4568
(979) 848-0933
Mailing address
101 TIGNER ST, ANGLETON, TX 77515-4568
(979) 848-0933
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17736
TX
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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