Individual
MRS. SARAH E.W. KOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LCAC, LPC
Contact information
Practice address
805 LEONARD ST NE, GRAND RAPIDS, MI 49503-1138
(616) 451-2021
Mailing address
105 ROLLINGROCK DR, ROCKFORD, MI 49341-1197
(517) 448-0228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3072-A
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001563A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
A9927
NC
101YP2500X
Professional Counselor
A9927
NC
103TC1900X
Counseling Psychologist
Primary
6401016578
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
MI
Enumeration date
10/04/2012
Last updated
06/15/2020
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