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Organization
KOINONIA CENTER LLC
Active
Organization
KOINONIA CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTI ORTIZ LMFT (GOVERNOR)
(509) 993-2968
Entity
Organization
Contact information
Practice address
11507 S KEENEY RD, SPOKANE, WA 99224-9625
(509) 850-2377
Mailing address
11507 S KEENEY RD, SPOKANE, WA 99224-9625
(509) 850-2377
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/28/2019
Last updated
08/07/2023
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