Individual
DUSTIN LYNN KOONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
204 TIMBERWOOD AVE, SILVER SPRING, MD 20901-2423
(301) 437-1600
Mailing address
204 TIMBERWOOD AVE, SILVER SPRING, MD 20901-2423
(301) 437-1600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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