Laura Koontz

NPI 1780012336 - Counselor - 101YM0800X

NPI Details
NPI 1780012336
Gender Female
Enumeration Date 10/17/2013
Last Updated 10/17/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
323 MOUNT VERNON AVE
LAUREL SPRINGS NJ, 08021-2034, US
Phone (856) 381-9616
Fax
Business Location
323 MOUNT VERNON AVENUE
LAUREL SPRINGS NJ, 08021, US
Phone (856) 381-9616
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State New Jersey
License Number 37AC00162300
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According to our database, Laura Koontz NPI is 1780012336, taxonomy code is 101YM0800X and license number is 37AC00162300, license state is located at New Jersey. Laura Koontz physically located at 323 Mount Vernon Ave, Laurel Springs NJ, 08021-2034. NPI Number Laura Koontz has the Individual type.

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1780012336 NPI number is provided on an as is basis without warranty of any kind. 1780012336 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Koontz are for informational purposes only.