Individual provider · Type 1 NPI

Juan Carlo Koontz

Peer Specialist · Riverside, CA

NPI number 1134823487 Active

Practice location

2085 Rustin Ave Unit 2
Riverside, CA 92507-2498

Mailing address

200 E Alessandro Blvd Unit 44
Riverside, CA 92508-6170

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-WNVUHS (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1134823487

Juan Carlo Koontz's National Provider Identifier is 1134823487, issued on Mar 29, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Riverside, CA. The record was last updated on Jul 5, 2023.