Individual provider · Type 1 NPI

Kelly Koontz Thompson

Professional Counselor · Columbia, MD

NPI number 1912693011 Active

Practice location

5570 Sterrett Pl
Columbia, MD 21044-2641

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC3532 (MD)

Professional Counselor: Definition to come...

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About NPI 1912693011

Kelly Koontz Thompson's National Provider Identifier is 1912693011, issued on Apr 12, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Columbia, MD. The record was last updated on Apr 12, 2023.