Individual
ANTONETTE KOONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4044 STATE ROAD 70, WEBSTER, WI 54893
(715) 349-8554
Mailing address
4044 STATE ROAD 70, WEBSTER, WI 54893
(715) 349-8554
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19282-130
WI
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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