Provider Demographics
NPI:1558533257
Name:KUZMA, OLA DLABOHA (LPC)
Entity Type:Individual
Prefix:MS
First Name:OLA
Middle Name:DLABOHA
Last Name:KUZMA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:OLHA
Other - Middle Name:L
Other - Last Name:DLABOHA KUZMA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CO
Mailing Address - Zip Code:80118-0095
Mailing Address - Country:US
Mailing Address - Phone:303-350-2746
Mailing Address - Fax:303-681-2401
Practice Address - Street 1:12163 S. PERRY PARK RD.
Practice Address - Street 2:
Practice Address - City:LARKSPUR
Practice Address - State:CO
Practice Address - Zip Code:80118-0095
Practice Address - Country:US
Practice Address - Phone:303-350-2746
Practice Address - Fax:303-681-2401
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4888101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional