Individual
MS. PAMELA JEAN KOONZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW CSAC
Contact information
Practice address
4810 NORTHWESTERN AVE, RACINE, WI 53406
(262) 637-9984
(262) 637-9995
Mailing address
5329 DEERFIELD RD, RACINE, WI 53406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1298132
WI
104100000X
Social Worker
3908123
WI
Other
Enumeration date
02/05/2007
Last updated
09/11/2025
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