Kozlov, Casey Rose

Kozlov, Casey Rose is an individual health care provider with primary practice located at 15811 Ambaum Blvd Sw Ste 110 , Burien WA 98166-3071. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Kozlov, Casey Rose can be contacted via phone (610) 739-9475.

Contact Information

Primary practice address
15811 Ambaum Blvd Sw Ste 110 Burien WA 98166-3071
Phone: (610) 739-9475
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MG 60501427 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MG 60501427 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X CO 60502517 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF60721682 Washington

Profile Details

NPI number 1568865285
LBN Legal business name Kozlov, Casey Rose
Credentials M.A., LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2014
Last updated Nov 15th, 2019 - about 6 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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