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Individual

GRANT AARON KOONTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
207 W MILLBROOK RD, SUITE 100, RALEIGH, NC 27609-4393
(919) 649-4428
Mailing address
5224 DENMEAD WAY, RALEIGH, NC 27613-5627
(919) 848-7949

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7363
NC

Other

Enumeration date
04/17/2007
Last updated
02/16/2013
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