Provider Demographics
NPI:1407274939
Name:KOVACS, LADISLAU
Entity Type:Individual
Prefix:MR
First Name:LADISLAU
Middle Name:
Last Name:KOVACS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 PLEASANTON CT SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-3411
Mailing Address - Country:US
Mailing Address - Phone:360-539-1772
Mailing Address - Fax:
Practice Address - Street 1:2225 PLEASANTON CT SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-3411
Practice Address - Country:US
Practice Address - Phone:360-539-1772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)