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1942320155
ANDREA KOONTZ
CAMARILLO, CA
NPI
1942320155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
-- ANDREA KOONTZ
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
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Mailing Address
-- ANDREA KOONTZ
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
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