JUSTIN KOOISTRA

BURLINGTON, WA
NPI1730602970
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  SC61454368)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-07-19
Last Update Date2023-12-11
Business Address
JUSTIN KOOISTRA
614 PETERSON RD STE 200
BURLINGTON, WA 98233-2606
Phone number: 360-856-3054
Mailing Address
JUSTIN KOOISTRA
1133 RAILROAD AVE STE 100
BELLINGHAM, WA 98225-5054
Phone number: 360-676-2164
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