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NPI Code Detail

MEDICARE: DANIELA KOENIG MA

MEDICARE: DANIELA KOENIG MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)83677CA

General Provider Information

NPI Number : 1396122438
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANIELA KOENIG MA
Provider Business Mailing Address
First Line : PO BOX 40272
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94140-0272
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3253 STEINER ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-3362
Country : US
Telephone Number : 415-255-2551
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DANIELA K KOENIG
Credential : MFT
Telephone Number : 415-255-2551
Provider Enumeration Date : 04/28/2015
Last Update Date : 04/28/2015

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