Individual
KATHLEEN KOENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 SE HOLMAN AVE, DALLAS, OR 97338-2611
(503) 917-1625
Mailing address
PO BOX 1170, DALLAS, OR 97338-1071
(503) 917-1625
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
15361
FL
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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