person
Kelly Koontz Thompson
Professional Counselor in Columbia, Maryland
NPI 1912693011

Kelly Koontz Thompson is a Professional Counselor based in Columbia, MD and is specialized in Professional. Kelly Koontz Thompson practices in Columbia, MD. The NPI Number for Kelly Koontz Thompson is 1912693011 and holds a License No. LC3532 (Maryland).

The current practice location address for Kelly Koontz Thompson is 5570 Sterrett Pl, Columbia, MD and can be reached out via phone at 410-730-0552.

Location: 5570 Sterrett Pl, Columbia, MD, 21044-2641
person
Provider Profile Details
NPI Number
1912693011
Provider Name
Kelly Koontz Thompson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5570 Sterrett Pl, Columbia, MD, 21044-2641
Phone Number
410-730-0552
Fax Number
Provider Enumeration Date
04/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5570 Sterrett Pl
City
State
Zip
21044-2641
Phone Number
410-730-0552
Fax Number
person
Provider Business Mailing Address Details
Address
5570 Sterrett Pl
City
State
Zip
21044-2641
Phone Number
410-730-0552
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC3532 (Maryland)
Definition
Definition to come...
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