NPI 1639457823

Justin T. Koon, PHD

Practitioner Marriage & Family Therapist Lexington, SC

Practice location

Address: 2437 Mineral Springs Rd Suite C, Lexington, SC 29072-9145
Phone: (803) 520-8295
Fax: (803) 520-8298

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 5343 (SC)

Other Marriage & Family Therapist providers in South Carolina →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence IMT1490 (FL)

Registry record

NPI: 1639457823
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2011
Record last updated: 15 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.