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

TaxonomyCodeLicense
Professional Counselor 101YP2500X008748 (CT)
Professional Counselor Primary 101YP2500X180.010578 (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.