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Ira Kotlik-konev
Student in an Organized Health Care Education/Training Program in Concord, California
NPI 1326247487

Ira Kotlik-konev is a Student in an Organized Health Care Education/Training Program based in Concord, CA. Ira Kotlik-konev practices in Concord, CA. The NPI Number for Ira Kotlik-konev is 1326247487 and holds a License No. (California).

The current practice location address for Ira Kotlik-konev is 1333 Willow Pass Rd, Concord, CA and can be reached out via phone at 925-825-1793.

Location: 1333 Willow Pass Rd, Concord, CA, 94520-7930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326247487
Provider Name
Ira Kotlik-konev
Credential
Provider Entity Type
Individual
Gender
Female
Address
1333 Willow Pass Rd, Concord, CA, 94520-7930
Phone Number
925-825-1793
Fax Number
Provider Enumeration Date
07/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1333 Willow Pass Rd
City
Concord
State
California
Zip
94520-7930
Phone Number
925-825-1793
Fax Number
person
Provider Business Mailing Address Details
Address
1333 Willow Pass Rd
City
Concord
State
California
Zip
94520-7930
Phone Number
925-825-1793
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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