Individual
DR. PENNY LYNN KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
207 16TH ST, SUITE 301, ASHLAND, KY 41101-7906
(606) 329-9333
Mailing address
207 16TH ST, SUITE 301, ASHLAND, KY 41101-7906
(606) 329-9333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
011146
OH
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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