Koontz, Bettie Kathleen

Koontz, Bettie Kathleen is an individual health care provider with primary practice located at 17727 E Cypress St , Covina CA 91722-2634. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Koontz, Bettie Kathleen can be contacted via phone (626) 967-2677.

Contact Information

Primary practice address
17727 E Cypress St Covina CA 91722-2634
Phone: (626) 967-2677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4986-I California

Profile Details

NPI number 1366826836
LBN Legal business name Koontz, Bettie Kathleen
Credentials CAS-I
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2015
Last updated Dec 13th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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