Individual provider · Type 1 NPI
Justin Kozak
Professional Counselor · Chicago, IL
NPI number
1972054294
Active
Practice location
332 S Michigan Ave Ste 900
Chicago, IL 60604-4393
Mailing address
2423 Oak St
Blue Island, IL 60406-2032
Other practice locations
- 100 Pearl St Fl 14, Hartford, CT 06103-4500 · (323) 205-7088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 008748 (CT) |
| Professional Counselor Primary | 101YP2500X | 180.010578 (IL) |
Professional Counselor: Definition to come...
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About NPI 1972054294
Justin Kozak's National Provider Identifier is 1972054294, issued on Oct 21, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Apr 22, 2026.