Provider Demographics
NPI:1013711266
Name:KOZAK, KATHRYN THERESA (LMHCA)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:THERESA
Last Name:KOZAK
Suffix:
Gender:
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNTERE EISENBAHNSTR 7
Mailing Address - Street 2:
Mailing Address - City:LANDSTUHL
Mailing Address - State:RHEINLAND-PFALZ
Mailing Address - Zip Code:66849
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNTERE EISENBAHNSTR 7
Practice Address - Street 2:
Practice Address - City:LANDSTUHL
Practice Address - State:RHEINLAND-PFALZ
Practice Address - Zip Code:66849
Practice Address - Country:DE
Practice Address - Phone:337-294-6023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61541052101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health