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1245911551
MADELINE KOONTZ
RALEIGH, NC
NPI
1245911551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-07-28
Last Update Date
2023-07-28
Business Address
MADELINE KOONTZ
4601 LAKE BOONE TRL STE 3A
RALEIGH, NC 27607-7518
Phone number: 919-709-7307
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Mailing Address
MADELINE KOONTZ
2220 HEATHROWE PL
RALEIGH, NC 27609-3284
Phone number: 631-219-2353
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FAMILY MENTAL HEALTH SERVICES, INC. OF RALEIGH. NC