Provider Demographics
NPI:1932716271
Name:KOGER, SIMONE ALEXANDRIA (LMFT)
Entity type:Individual
Prefix:
First Name:SIMONE
Middle Name:ALEXANDRIA
Last Name:KOGER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SIMONE
Other - Middle Name:A
Other - Last Name:EBRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1821 159TH STREET CT S
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-9078
Mailing Address - Country:US
Mailing Address - Phone:707-292-5029
Mailing Address - Fax:
Practice Address - Street 1:1821 159TH STREET CT S
Practice Address - Street 2:
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-9078
Practice Address - Country:US
Practice Address - Phone:707-292-5029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health