Individual
MRS. SUSAN M OZIMKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LCPC
Contact information
Practice address
3735 N CHATTERTON WAY, BOISE, ID 83713-1990
(208) 340-8207
Mailing address
3735 N CHATTERTON WAY, BOISE, ID 83713-1990
(208) 340-8207
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3762
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3889
LCPC
ID
Enumeration date
05/06/2007
Last updated
02/05/2010
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