Individual provider · Type 1 NPI
Zivon Kaczor, BA
Professional Counselor · New London, CT
NPI number
1649971102
Active
Practice location
7 Vauxhall St
New London, CT 06320-5711
Fax (860) 661-4262
Mailing address
PO Box 120
New London, CT 06320-0120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1649971102
Zivon Kaczor, BA's National Provider Identifier is 1649971102, issued on Mar 13, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New London, CT. The record was last updated on Mar 13, 2023.