Individual
BENJAMIN SHELTON KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5859 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63109-3571
(314) 669-6242
Mailing address
4134 LOUISIANA AVE, SAINT LOUIS, MO 63118-4206
(314) 409-1904
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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