Individual provider · Type 1 NPI
Stephanie Lyn Koontz
Addiction (Substance Use Disorder) Counselor · Long Beach, CA
NPI number
1104650506
Active
Practice location
3939 Atlantic Ave Ste 102
Long Beach, CA 90807-3535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1104650506 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1104650506
Stephanie Lyn Koontz's National Provider Identifier is 1104650506, issued on Aug 28, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Sep 24, 2024.