Provider Demographics
NPI:1598036139
Name:MOENNIG, KARI (LPC)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:MOENNIG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 W CALLE DE LA PLZ
Mailing Address - Street 2:
Mailing Address - City:SAHUARITA
Mailing Address - State:AZ
Mailing Address - Zip Code:85629-9730
Mailing Address - Country:US
Mailing Address - Phone:520-301-4346
Mailing Address - Fax:
Practice Address - Street 1:1225 W CALLE DE LA PLZ
Practice Address - Street 2:
Practice Address - City:SAHUARITA
Practice Address - State:AZ
Practice Address - Zip Code:85629-9730
Practice Address - Country:US
Practice Address - Phone:520-301-4346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-13844101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional