Individual provider · Type 1 NPI
Bettie Kathleen Koontz, CAS-I
Addiction (Substance Use Disorder) Counselor · Covina, CA
NPI number
1366826836
Active
Practice location
17727 E Cypress St
Covina, CA 91722-2634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 4986-I (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1366826836
Bettie Kathleen Koontz, CAS-I's National Provider Identifier is 1366826836, issued on Jul 15, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Covina, CA. The record was last updated on Dec 13, 2016.