Kosnar-Tittl, Suzette M

Kosnar-Tittl, Suzette M is an individual health care provider with primary practice located at 529 S Jefferson St Ste 202 , Green Bay WI 54301-4125. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kosnar-Tittl, Suzette M can be contacted via phone (920) 884-2175.

Contact Information

Primary practice address
529 S Jefferson St Ste 202 Green Bay WI 54301-4125
Phone: (920) 884-2175
Fax: (920) 884-6735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2376125 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 489124 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4044123 Wisconsin

Profile Details

NPI number 1285736249
LBN Legal business name Kosnar-Tittl, Suzette M
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285736249 NPPES
Wisconsin MEDICAID 39722900

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