Individual
MICHAEL KOWALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15123 SHERMAN WAY APT 206, VAN NUYS, CA 91405-2074
(132) 383-0664
Mailing address
15123 SHERMAN WAY APT 206, VAN NUYS, CA 91405-2074
(132) 383-0664
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
CA
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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