Individual
LEAH KOENIGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
196 3RD ST, FOND DU LAC, WI 54935-4418
(920) 921-3343
Mailing address
N8835 COUNTY RD W, MALONE, WI 53049-1536
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7640-125
WI
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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