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General NPI Number Information
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NPI Number | 1457478968
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Entity Type | Individual
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Provider Name | GRETCHEN KOENIG LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 98 WADSWORTH BLVD # 1273267
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City | LAKEWOOD
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State | CO
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Zip | 80226-1550
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Country | US
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Telephone | 720-468-7161
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Fax |
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Provider Business Mailing Address
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Address Line | 435 NW LIBERTY RD
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City | POULSBO
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State | WA
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Zip | 98370-8303
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Country | US
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Telephone | 720-468-7161
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF61507765
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0001652
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License Number State | CO
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