Christine Martha Koontz

NPI #1215550611 in Chino, California

Provider Information

NPI Number: 1215550611
Entity Type: Individual
Name: Christine Martha Koontz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 20, 2020
Last Updated: May 20, 2020

Practice Location

Address: 4091 RIVERSIDE DR STE 214
City: Chino
State: California
ZIP Code: 91710-6502
Phone: (909) 255-0791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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