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1104650506
STEPHANIE LYN KOONTZ
LONG BEACH, CA
NPI
1104650506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1104650506)
Enumeration Date
2024-08-28
Last Update Date
2024-09-24
Business Address
Ms. STEPHANIE LYN KOONTZ
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807-3535
Phone number: 562-473-0830
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Mailing Address
Ms. STEPHANIE LYN KOONTZ
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807-3535
Phone number: 562-473-0830
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