Individual
MARTHA JEAN KOENINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
9101 N RODNEY PARHAM RD STE B, LITTLE ROCK, AR 72205-1685
(501) 389-8100
(870) 572-2891
Mailing address
1707 LINWOOD DR STE G, PARAGOULD, AR 72450-5365
(870) 604-4455
(870) 572-2892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2010146
AR
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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