Provider Demographics
NPI:1073387833
Name:COZZA, JAMES DEVIN (LPC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DEVIN
Last Name:COZZA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 STEEPLECHASE CT
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-2159
Mailing Address - Country:US
Mailing Address - Phone:630-461-2709
Mailing Address - Fax:
Practice Address - Street 1:1531 S GROVE AVE
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-5240
Practice Address - Country:US
Practice Address - Phone:630-461-2709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.017132101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor