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1760037626
GRACE ADELINE KOONTZ
MOUNTLAKE TERRACE, WA
NPI
1760037626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH61510557)
Enumeration Date
2019-08-07
Last Update Date
2024-05-30
Business Address
GRACE ADELINE KOONTZ LMHC
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043-2089
Phone number: 360-854-3644
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Mailing Address
GRACE ADELINE KOONTZ LMHC
710 19TH ST APT A
LYNDEN, WA 98264-1105
Phone number:
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