Individual
KEVIN R KOSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-R ,QMHA-R, D.O.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-24-3714
OR
101YM0800X
Mental Health Counselor
QMHA-R-5143
OR
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
DO
OR
Other
Enumeration date
04/01/2024
Last updated
08/11/2026
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