Individual
DONALD L KOONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1121 E MISSOURI AVE, SUITE 228, PHOENIX, AZ 85014-2713
(602) 617-0036
(602) 631-6900
Mailing address
505 E PASADENA AVE, PHOENIX, AZ 85012-1518
(602) 617-0036
(602) 631-6900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-1996
AZ
Other
Enumeration date
01/03/2006
Last updated
05/05/2010
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