Doctor Name: | LAUREN KAZIK |
NPI Number: | 1053794958 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 1885 |
Business Practice Address: | 300 Crooks St Green Bay, WI - 543014527 |
Business Phone Number: | 9204366800 |
Business Fax Number: | 9204325966 |
Mailing Address: | Po Box 22308, GREEN BAY |
State: | WI |
Postal Code: | 543052308 |
Phone Number: | 9204366800 |
Fax Number: | 9204325966 |
NPI Enumeration Date: | 07/09/2015 |
NPI Last Update Date: | 07/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |