Nicole Koontz
NPI #1700450285 in Allston, Massachusetts
Provider Information
- NPI Number
- 1700450285
- Entity Type
- Individual
- Name
- Nicole Koontz
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- May 18, 2021
- Last Updated
- May 18, 2021
Practice Location
- Address
- 14 FORDHAM RD
- City
- Allston
- State
- Massachusetts
- ZIP Code
- 02134-3000
- Phone
- (617) 783-9676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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