Individual provider · Type 1 NPI

Jessica Ann Kozarevich, LPC

Mental Health Counselor · Ponca City, OK

NPI number 1609188291 Active

Practice location

1500 N 6th St
Ponca City, OK 74601-2827

Call (580) 762-7561 Map

Fax (580) 762-2576

Mailing address

4601 S Union St
Ponca City, OK 74601-7612

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3567 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1609188291

Jessica Ann Kozarevich, LPC's National Provider Identifier is 1609188291, issued on Jul 12, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ponca City, OK. The record was last updated on Jul 12, 2010.