Individual
MR. JEREMY KOZNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
2000 15TH ST N STE 200, ARLINGTON, VA 22201-2627
(707) 988-6861
Mailing address
2000 15TH ST N STE 200, ARLINGTON, VA 22201-2627
(707) 988-6861
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006388
VA
Other
Enumeration date
05/13/2016
Last updated
07/17/2020
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