person
Juan Carlo Koontz
Peer Specialist in Riverside, California
NPI 1134823487

Juan Carlo Koontz is a Peer Specialist based in Riverside, CA. Juan Carlo Koontz practices in Riverside, CA. The NPI Number for Juan Carlo Koontz is 1134823487 and holds a License No. MPSS-WNVUHS (California).

The current practice location address for Juan Carlo Koontz is 2085 Rustin Ave Unit 2, Riverside, CA and can be reached out via phone at 951-955-2501. You can also correspond with Juan Carlo Koontz through the mailing address at 200 E ALESSANDRO BLVD UNIT 44, RIVERSIDE, CA - 92508-6170 (mailing address contact number: 951-419-1814).

Location: 2085 Rustin Ave Unit 2, Riverside, CA, 92508-6170
person
Provider Profile Details
NPI Number
1134823487
Provider Name
Juan Carlo Koontz
Credential
Provider Entity Type
Individual
Gender
Male
Address
2085 Rustin Ave Unit 2, Riverside, CA, 92508-6170
Phone Number
951-955-2501
Fax Number
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2085 Rustin Ave Unit 2
City
State
Zip
92507-2498
Phone Number
951-955-2501
Fax Number
person
Provider Business Mailing Address Details
Address
2085 Rustin Ave Unit 2
City
State
Zip
92507-2498
Phone Number
951-955-2501
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
MPSS-WNVUHS (California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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