Individual provider · Type 1 NPI

Ruby Taylor Koontz

Mental Health Counselor · Valparaiso, IN

NPI number 1306573050 Active

Practice location

2005 Valparaiso St Ste 209
Valparaiso, IN 46383-3331

Mailing address

1625 Oriole Dr
Munster, IN 46321-3336

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306573050

Ruby Taylor Koontz's National Provider Identifier is 1306573050, issued on Aug 3, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Valparaiso, IN. The record was last updated on Aug 3, 2022.