Individual
EDWARD KOZENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1 FORTUNE LN, SAINT LOUIS, MO 63122-6505
(314) 960-5829
Mailing address
1 FORTUNE LN, SAINT LOUIS, MO 63122-6505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008002921
MO
Other
Enumeration date
03/20/2013
Last updated
06/30/2014
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