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1083228993
GALEN SCOTT KOEN
VENTURA, CA
NPI
1083228993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14212)
Enumeration Date
2020-09-08
Last Update Date
2020-09-08
Business Address
GALEN SCOTT KOEN
955 E THOMPSON BLVD
VENTURA, CA 93001-3008
Phone number: 805-641-9001
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Mailing Address
GALEN SCOTT KOEN
443 OCCIDENTAL DR APT 17
OXNARD, CA 93036-2441
Phone number: 805-200-9566
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