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Organization
KOINONOS HEALTH CARE LLC
Active
Organization
KOINONOS HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER AMADASU (CEO)
(832) 951-5482
Entity
Organization
Contact information
Practice address
17431 CROSSCOVE CT, HOUSTON, TX 77095-4495
(832) 951-5482
Mailing address
17431 CROSSCOVE CT, HOUSTON, TX 77095-4495
(832) 951-5482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R58638245
BLUECROSS BLUESHIELD
TX
Enumeration date
05/12/2021
Last updated
05/16/2021
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