Juan Carlo Koontz
Juan Carlo Koontz is a Peer Specialist in Riverside, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
2085 Rustin Ave Unit 2Riverside, CA 92507-2498
Phone: (951) 955-2501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence MPSS-WNVUHS (CA) |
|---|
Record details
| NPI number | 1134823487 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 29, 2023 |
| Last updated in NPPES | July 5, 2023 |
| Certification date | July 5, 2023 |
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