Koon, Sarah E.W.
Koon, Sarah E.W. is an sole proprietor health care provider with primary practice located at 805 Leonard St Ne , Grand Rapids MI 49503-1138. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Koon, Sarah E.W. can be contacted via phone (616) 451-2021.Contact Information
Primary practice address
805 Leonard St Ne
Grand Rapids MI 49503-1138
Phone: (616) 451-2021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | A9927 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | A9927 | North Carolina |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6401016578 | Michigan |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 87001563A | Indiana |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3072-A | North Carolina |
Profile Details
| NPI number | 1811249691 |
|---|---|
| LBN Legal business name | Koon, Sarah E.W. |
| Credentials | LMHC, LCAC, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2012 |
| Last updated | Jun 15th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811249691 | NPPES |
| Michigan | MEDICAID | 000000000 |
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