Provider Demographics
NPI:1760696108
Name:KOENIG-COLSCH, TONYA SUE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:SUE
Last Name:KOENIG-COLSCH
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 1:11180 E 37TH WAY
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85367-7818
Mailing Address - Country:US
Mailing Address - Phone:928-342-9652
Mailing Address - Fax:
Practice Address - Street 1:202 S 1ST AVE STE 101
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-2366
Practice Address - Country:US
Practice Address - Phone:928-783-0326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-10242101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional