Individual
MR. CHARLES I KOONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
4602 45TH AVE NE APT 409, TACOMA, WA 98422-4420
(253) 238-8781
Mailing address
4602 45TH AVE NE APT 409, TACOMA, WA 98422-4420
(253) 238-8781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00009907
WA
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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