Individual
ADAM N. KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 W DEPOT ST, MOCKSVILLE, NC 27028-2327
(336) 751-5636
Mailing address
194 DEVONSHIRE DR, LEXINGTON, NC 27295-7407
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5477
NC
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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