Individual
ANIKA JAN COONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
26001 REDLANDS BLVD, REDLANDS, CA 92373-7762
(909) 825-7084
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
101281
CA
Other
Enumeration date
08/01/2016
Last updated
10/17/2022
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