Individual
DANIELLE KOENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1941 FRANK SCOTT PKWY E STE C, SHILOH, IL 62269-7387
(618) 942-1568
(618) 205-3561
Mailing address
3 OAK DR STE B, MARYVILLE, IL 62062-5635
(618) 974-5815
(618) 205-3561
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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