NICHOLAS ROBERT KOONTZ

GLENDORA, CA
NPI1821301292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  IMF68820)
Enumeration Date2010-07-14
Last Update Date2015-10-19
Business Address
-- NICHOLAS ROBERT KOONTZ M.S.
2200 E ROUTE 66
GLENDORA, CA 91740-4659
Phone number: 626-859-2089
Mailing Address
-- NICHOLAS ROBERT KOONTZ M.S.
2200 E ROUTE 66
GLENDORA, CA 91740-4659
Phone number: 626-859-2089
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