Mimi Koontz, LCSW
Mimi Koontz, LCSW is a Clinical Social Worker in Eugene, Oregon. Licensed in Oregon. Registered with an NPI since 2011.
- Licensed in
- OR
- In the registry since
- 2011
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
550 River RdEugene, OR 97404-3212
Phone: (541) 743-2611
Fax: (541) 868-0340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence L4711 (OR) |
|---|
Record details
| NPI number | 1972884427 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW |
| Sole proprietor | No |
| NPI enumerated | August 29, 2011 |
| Last updated in NPPES | July 15, 2014 |
| Mailing address | 550 River Rd, Eugene, OR 97404-3212 |
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