Individual
MR. ALAN LINCOLN KOENIG II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
120 CHESTNUT STREET, RIDGEWOOD, NJ 07450
(201) 444-3550
(201) 652-1613
Mailing address
120 CHESTNUT STREET, RIDGEWOOD, NJ 07450
(201) 444-3550
(201) 652-1613
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
37AC00046000
NJ
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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