person
Larry Koziol, LMHC
Mental Health Counselor in Plantation, Florida
NPI 1114064557

Larry Koziol is a Mental Health Counselor based in Plantation, FL and is specialized in Mental Health. Larry Koziol practices in Plantation, FL and has the professional credentials of LMHC. The NPI Number for Larry Koziol is 1114064557 and holds a License No. MH0001868 (Florida).

The current practice location address for Larry Koziol is 8030 Peters Rd, Plantation, FL and can be reached out via phone at 954-475-9503 and via fax at 954-476-2369.

Location: 8030 Peters Rd, Plantation, FL, 33324-4038
person
Provider Profile Details
NPI Number
1114064557
Provider Name
Larry Koziol
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
8030 Peters Rd, Plantation, FL, 33324-4038
Phone Number
954-475-9503
Fax Number
954-476-2369
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z2587 01 FL BLUE CROSS BLUE SHIELD FL
institution
Provider Business Practice Location Address Details
Address
8030 Peters Rd
City
State
Zip
33324-4038
Phone Number
954-475-9503
Fax Number
954-476-2369
person
Provider Business Mailing Address Details
Address
8030 Peters Rd
City
State
Zip
33324-4038
Phone Number
954-475-9503
Fax Number
954-476-2369
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH0001868 (Florida)
Definition
Definition to come...
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