NPI | 1083932115 |
---|---|
Professional Name | STEPHANIE JO KOSUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65424) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 65424) |
101Y00000X Counselor (Licence: TX 65424) | |
101YM0800X Counselor, Mental Health (Licence: TX 65424) | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2010-05-13 |
Last Update Date | 2025-01-04 |