Individual
MRS. KATHLEEN D. KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
260 CHAPMAN ROAD, 100 B, NEWARK, DE 19702
(302) 292-1334
Mailing address
130 BOYER DR, NEWARK, DE 19702-2891
(302) 442-0342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0000646
DE
Other
Enumeration date
09/08/2013
Last updated
09/27/2013
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