Individual
MR. MICHAEL ERIC KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9405 S AVENIDA DEL YAQUI, GUADALUPE, AZ 85283-2529
(480) 768-2000
(480) 768-2053
Mailing address
9405 S AVENIDA DEL YAQUI, GUADALUPE, AZ 85283-2529
(480) 768-2000
(480) 768-2053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-17684
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-17684
ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
08/17/2022
Last updated
08/17/2022
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