Individual provider · Type 1 NPI
Lisa Clara Meltvedt Koontz
Mental Health Counselor · Bothell, WA
NPI number
1831740620
Active
Practice location
19201 120th Ave NE
Bothell, WA 98011-9517
Mailing address
16518 39th Ave NE
Lake Forest Park, WA 98155-5602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
4 other providers at this address
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About NPI 1831740620
Lisa Clara Meltvedt Koontz's National Provider Identifier is 1831740620, issued on Sep 24, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bothell, WA. The record was last updated on Sep 24, 2019.