Individual
KIRSTEN A. KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1222 MINNESOTA AVE, LIBBY, MT 59923-2306
(406) 293-8766
Mailing address
1222 MINNESOTA AVE, LIBBY, MT 59923-2306
(406) 293-8766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-15792
MT
Other
Enumeration date
01/07/2016
Last updated
12/09/2016
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