Carrie Koontz, LCSW
Social Worker, Clinical in Lexington, KY. Individual provider (NPI-1).
NPI number1760624167
StatusActive
Last updated in NPPESMar 31, 2009
Details
- NPI
- 1760624167
- Entity type
- Individual (NPI-1)
- Name
- Carrie Koontz
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2009
- Last updated
- Mar 31, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 3179 | KY | Yes |
Practice location
3050 Rio Dosa DrLexington, KY 40509-1540
Phone 800-968-6866 · Fax 616-532-7230
Mailing address
3050 Rio Dosa DrLexington, KY 40509-1540
Phone 800-968-6866 · Fax 616-532-7230
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