Individual
SARA IRENE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 UPLAND ST, KENAI, AK 99611-8026
(907) 335-7300
Mailing address
1301 COLONIAL DR APT 2, KENAI, AK 99611-8252
(907) 342-2275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AK
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1753457
—
AK
Enumeration date
02/25/2025
Last updated
06/19/2025
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