Individual
MR. NOEL E. KOONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., ACMHC
Contact information
Practice address
2363 N HILL FIELD RD, SUITE #5, LAYTON, UT 84041-6909
(801) 525-4645
Mailing address
2363 N HILL FIELD RD, SUITE #5, LAYTON, UT 84041-6909
(801) 525-4645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8440518-6009
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAILROAD MEDICARE
UT
05
—
876000308007
—
UT
Enumeration date
05/23/2013
Last updated
10/28/2013
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