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1366826836
BETTIE KATHLEEN KOONTZ
COVINA, CA
NPI
1366826836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 4986-i)
Enumeration Date
2015-07-15
Last Update Date
2016-12-13
Business Address
Mrs. BETTIE KATHLEEN KOONTZ CAS-i
17727 E CYPRESS ST
COVINA, CA 91722-2634
Phone number: 626-967-2677
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Mailing Address
Mrs. BETTIE KATHLEEN KOONTZ CAS-i
17727 E CYPRESS ST
COVINA, CA 91722-2634
Phone number:
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