Individual
LAURA KOSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10035 WAGNER CREEK RD, TALENT, OR 97540-7805
(415) 605-3638
Mailing address
2305 ASHLAND ST # 104-252, ASHLAND, OR 97520-3777
(415) 605-3638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R4800
OR
106H00000X
Marriage & Family Therapist
T1673
OR
106H00000X
Marriage & Family Therapist
Primary
T2903
OR
Other
Enumeration date
09/18/2014
Last updated
03/16/2026
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