Doctor Name: | MS. NICOLE MARIE KOZLOWSKI |
NPI Number: | 1104167113 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | E.0004187 |
Business Practice Address: | 6700 Beta Dr Suite 301 Mayfield Village, OH - 441432363 |
Business Phone Number: | 4404469696 |
Business Fax Number: | 4404491435 |
Mailing Address: | 6700 Beta Dr, Suite 301 MAYFIELD VILLAGE |
State: | OH |
Postal Code: | 441432363 |
Phone Number: | 4404469696 |
Fax Number: | 4404491435 |
NPI Enumeration Date: | 03/15/2013 |
NPI Last Update Date: | 03/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E.0004187 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |