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Individual

AMIE KOONTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMHC

Contact information

Practice address
1788 GIBOU RD, MONTGOMERY CENTER, VT 05471-2032
(802) 760-0715
Mailing address
1788 GIBOU RD, MONTGOMERY CENTER, VT 05471-2032
(802) 760-0715

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0135962
VT

Other

Enumeration date
07/09/2024
Last updated
07/09/2024
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