Individual
MICHELLE GRASSA KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
557 GREEN ST, HAVRE DE GRACE, MD 21078-2930
(410) 937-0876
(410) 939-2219
Mailing address
557 GREEN ST, HAVRE DE GRACE, MD 21078-2930
(410) 937-0876
(410) 939-2219
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7500
MD
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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