Individual provider · Type 1 NPI

Ira Kotlik-Konev

Student in an Organized Health Care Education/Training Program · Concord, CA

NPI number 1326247487 Active

Practice location

1333 Willow Pass Rd, Suite 102
Concord, CA 94520-7930

Call (925) 825-1793 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1326247487

Ira Kotlik-Konev's National Provider Identifier is 1326247487, issued on Jul 17, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Concord, CA. The record was last updated on Aug 12, 2010.