Individual
CAROLYN OZIMOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
13001 SEAL BEACH BLVD STE 360, SEAL BEACH, CA 90740-2747
(562) 708-6801
Mailing address
336 LAWNDALE DR, WINSTON SALEM, NC 27104-4014
(562) 708-6801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
CA
Enumeration date
02/04/2020
Last updated
04/04/2022
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