person
Nicholas Robert Koontz, MS
Mental Health Counselor in Glendora, California
NPI 1821301292

Nicholas Robert Koontz is a Mental Health Counselor based in Glendora, CA and is specialized in Mental Health. Nicholas Robert Koontz practices in Glendora, CA and has the professional credentials of MS. The NPI Number for Nicholas Robert Koontz is 1821301292 and holds a License No. IMF68820 (California).

The current practice location address for Nicholas Robert Koontz is 2200 E Route 66, Glendora, CA and can be reached out via phone at 626-859-2089 and via fax at 626-859-6537.

Location: 2200 E Route 66, Glendora, CA, 91740-4659
person
Provider Profile Details
NPI Number
1821301292
Provider Name
Nicholas Robert Koontz
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
2200 E Route 66, Glendora, CA, 91740-4659
Phone Number
626-859-2089
Fax Number
626-859-6537
Provider Enumeration Date
07/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2200 E Route 66
City
State
Zip
91740-4659
Phone Number
626-859-2089
Fax Number
626-859-6537
person
Provider Business Mailing Address Details
Address
2200 E Route 66
City
State
Zip
91740-4659
Phone Number
626-859-2089
Fax Number
626-859-6537
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMF68820 (California)
Definition
Definition to come...
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