Individual
AMY NICOLE COZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
821 SAGINAW ST S, SALEM, OR 97302-4121
(971) 600-8453
Mailing address
821 SAGINAW ST S, SALEM, OR 97302-4121
(971) 600-8453
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
R6921
OR
101YP2500X
Professional Counselor
Primary
C10744
OR
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
03/04/2026
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