Individual
DANA MICHELLE KOZISEK
Active
Individual
DANA MICHELLE KOZISEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
97118
IA
1041C0700X
Clinical Social Worker
Primary
06551
IA
1041C0700X
Clinical Social Worker
20201019744
MO
Other
Enumeration date
11/06/2017
Last updated
04/03/2026
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