Individual
CAITLIN KOZICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7220 W JEFFERSON AVE STE 218, LAKEWOOD, CO 80235-2058
(303) 957-6504
Mailing address
3633 W GRAMBLING DR, DENVER, CO 80236-2443
(303) 957-6504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0006733
CO
101YM0800X
Mental Health Counselor
Primary
0005209
CO
Other
Enumeration date
06/27/2014
Last updated
12/22/2015
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