Doctor Name: | LAURA KOZIEJ |
NPI Number: | 1841655529 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 178011595 |
Business Practice Address: | 720 Roosevelt Rd Glen Ellyn, IL - 601375806 |
Business Phone Number: | 1630984220 |
Business Fax Number: | 6309842051 |
Mailing Address: | 4550 N Laporte Ave, CHICAGO |
State: | IL |
Postal Code: | 606303916 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/22/2015 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 178011595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |