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Justin Kooistra
Counselor in Burlington, Washington
NPI 1730602970

Justin Kooistra is a Counselor based in Bellingham, WA. Justin Kooistra practices in Burlington, WA. The NPI Number for Justin Kooistra is 1730602970 and holds a License No. (Washington).

The current practice location address for Justin Kooistra is 614 Peterson Rd Ste 200, Burlington, WA and can be reached out via phone at 360-856-3054 and via fax at 360-856-3065.

Location: 614 Peterson Rd Ste 200, Burlington, WA, 98225-5054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730602970
Provider Name
Justin Kooistra
Credential
Provider Entity Type
Individual
Gender
Male
Address
614 Peterson Rd Ste 200, Burlington, WA, 98225-5054
Phone Number
360-856-3054
Fax Number
360-856-3065
Provider Enumeration Date
07/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
614 Peterson Rd Ste 200
City
Burlington
State
Washington
Zip
98233-2606
Phone Number
360-856-3054
Fax Number
360-856-3065
person
Provider Business Mailing Address Details
Address
614 Peterson Rd Ste 200
City
Burlington
State
Washington
Zip
98233-2606
Phone Number
360-856-3054
Fax Number
360-856-3065
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
SC61454368 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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