Individual
GREGORY A KOKOSKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
611 BELMONT AVE, YOUNGSTOWN, OH 44502-1037
(330) 744-2991
(330) 744-2971
Mailing address
611 BELMONT AVE, YOUNGSTOWN, OH 44502-1037
(330) 744-2991
(330) 744-2971
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
923337
OH
101YM0800X
Mental Health Counselor
0001027
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241705
—
OH
Enumeration date
11/03/2010
Last updated
11/03/2010
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