Brooke Koontz, MS
Counselor, Mental Health in Port Orange, FL. Individual provider (NPI-1).
NPI number1275198822
StatusActive
Last updated in NPPESMay 8, 2019
Details
- NPI
- 1275198822
- Entity type
- Individual (NPI-1)
- Name
- Ms. Brooke Koontz
- Credential
- MS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2019
- Last updated
- May 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3816 Calliope AvePort Orange, FL 32129-6024
Phone 814-442-8775
Mailing address
3816 Calliope AvePort Orange, FL 32129-6024
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All 47 Mental Health Counselor providers in Port Orange · All 1,907 providers in Port Orange
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