Individual
MRS. CARLA ANNE KOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
8308 OFFICE PARK DR STE 3, GRAND BLANC, MI 48439-2075
(810) 584-0070
Mailing address
10223 HEATHER RIDGE CT, GOODRICH, MI 48438-9063
(810) 513-9006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451007253
MI
104100000X
Social Worker
6802080026
MI
Other
Enumeration date
04/19/2019
Last updated
04/17/2023
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