MIA LISETTE KOENIG

PORTLAND, OR
NPI1598515280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: OR  R8727)
Enumeration Date2024-03-25
Last Update Date2024-03-25
Business Address
MIA LISETTE KOENIG MA
1641 NE PRESCOTT ST
PORTLAND, OR 97211-5155
Phone number: 650-576-7611
Mailing Address
MIA LISETTE KOENIG MA
1641 NE PRESCOTT ST
PORTLAND, OR 97211-5155
Phone number:
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