Individual
JILL GURWITZ KOZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. A.
Contact information
Practice address
13100 WAYZATA BLVD, SUITE 400, MINNETONKA, MN 55305-1802
(952) 546-0616
(952) 593-1778
Mailing address
9901 SAINT JOHNS RD, MINNETONKA, MN 55305-4640
(952) 936-0926
(952) 936-0927
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP3372
MN
103TC1900X
Counseling Psychologist
Primary
LP3372
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8H790KO 4H557GI LP
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/01/2006
Last updated
09/11/2025
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