Provider Demographics
NPI:1588157739
Name:KOERNER, MARIA RENEE (LPCA)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:RENEE
Last Name:KOERNER
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 LINVILLE DR.
Mailing Address - Street 2:STE 102
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361
Mailing Address - Country:US
Mailing Address - Phone:859-340-1807
Mailing Address - Fax:859-340-4280
Practice Address - Street 1:5 LINVILLE DR.
Practice Address - Street 2:STE 102
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361
Practice Address - Country:US
Practice Address - Phone:859-340-1807
Practice Address - Fax:859-340-4280
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor