Provider Demographics
NPI:1164600532
Name:KAZHAROVA, OKSANA R (BA, MSW INTERN)
Entity Type:Individual
Prefix:MISS
First Name:OKSANA
Middle Name:R
Last Name:KAZHAROVA
Suffix:
Gender:F
Credentials:BA, MSW INTERN
Other - Prefix:
Other - First Name:OKSANA
Other - Middle Name:R
Other - Last Name:KACZMARCZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, MSW INTERN
Mailing Address - Street 1:3008 SHETLAND WAY
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08093-1548
Mailing Address - Country:US
Mailing Address - Phone:302-465-6345
Mailing Address - Fax:
Practice Address - Street 1:112 N BROAD ST
Practice Address - Street 2:RM 821
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19102-1510
Practice Address - Country:US
Practice Address - Phone:215-568-0860
Practice Address - Fax:215-568-0769
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor