Organization · Type 2 NPI

Koinonia Baptist Church

Mental Health Counselor · Arlington, TX

NPI number 1104481902 Active

Practice location

2455 SE Green Oaks Blvd
Arlington, TX 76018-1970

Call (817) 466-8211 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104481902

Koinonia Baptist Church's National Provider Identifier is 1104481902, issued on May 7, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Arlington, TX. The record was last updated on May 7, 2019.