Individual
MR. MICHAEL CHAD KOSITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3035 NW 63RD ST, STE 101, OKLAHOMA CITY, OK 73116-3632
(405) 842-0684
Mailing address
PO BOX 19635, OKLAHOMA CITY, OK 73144-0635
(405) 692-2118
(405) 605-5816
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC3381
OK
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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