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Individual

NICOLE KRISTINA DOZSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LCADCA

Contact information

Practice address
9720 PARK PLAZA AVE UNIT 104, LOUISVILLE, KY 40241-2289
(502) 938-0511
(502) 371-6110
Mailing address
720 W BROADWAY STE 202, LOUISVILLE, KY 40202-3245
(502) 561-0943
(502) 561-0944

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
263297
KY
1041C0700X
Clinical Social Worker
Primary
255389
KY

Other

Enumeration date
08/06/2020
Last updated
03/30/2021
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