Provider Demographics
NPI:1235382482
Name:KOENIG, SONIA VALLIERES (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:VALLIERES
Last Name:KOENIG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:MARY
Other - Last Name:VALLIERES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3057 LESSITER DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1523
Mailing Address - Country:US
Mailing Address - Phone:248-778-5423
Mailing Address - Fax:
Practice Address - Street 1:3057 LESSITER DR
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1523
Practice Address - Country:US
Practice Address - Phone:248-752-5080
Practice Address - Fax:248-737-1925
Is Sole Proprietor?:No
Enumeration Date:2008-11-01
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1407693101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor