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Lisa Clara Meltvedt Koontz
Mental Health Counselor in Bothell, Washington
NPI 1831740620

Lisa Clara Meltvedt Koontz is a Mental Health Counselor based in Lake Forest Park, WA and is specialized in Mental Health. Lisa Clara Meltvedt Koontz practices in Bothell, WA. The NPI Number for Lisa Clara Meltvedt Koontz is 1831740620 and holds a License No. (Washington).

The current practice location address for Lisa Clara Meltvedt Koontz is 19201 120Th Ave Ne, Bothell, WA and can be reached out via phone at 425-485-6541.

Location: 19201 120Th Ave Ne, Bothell, WA, 98155-5602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831740620
Provider Name
Lisa Clara Meltvedt Koontz
Credential
Provider Entity Type
Individual
Gender
Female
Address
19201 120Th Ave Ne, Bothell, WA, 98155-5602
Phone Number
425-485-6541
Fax Number
Provider Enumeration Date
09/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19201 120Th Ave Ne
City
Bothell
State
Washington
Zip
98011-9517
Phone Number
425-485-6541
Fax Number
person
Provider Business Mailing Address Details
Address
19201 120Th Ave Ne
City
Bothell
State
Washington
Zip
98011-9517
Phone Number
425-485-6541
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Washington)
Definition
Definition to come...
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