Provider Demographics
NPI:1083753735
Name:KOZERA, HOLLY ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:ANN
Last Name:KOZERA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-3169
Mailing Address - Country:US
Mailing Address - Phone:413-387-8770
Mailing Address - Fax:
Practice Address - Street 1:44 KING ST
Practice Address - Street 2:
Practice Address - City:HATFIELD
Practice Address - State:MA
Practice Address - Zip Code:01038-9750
Practice Address - Country:US
Practice Address - Phone:413-387-8770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6162101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health