Individual
RHONDA LEE KOZUMPLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC, CADC
Contact information
Practice address
8245 HOLLY RD STE 200, GRAND BLANC, MI 48439-2483
(810) 625-3002
Mailing address
9130 MCWAIN RD, GRAND BLANC, MI 48439-8005
(810) 625-3002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401222842
MI
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
6401013075
MI
Other
Enumeration date
05/15/2012
Last updated
05/30/2023
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