| 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 | 2023-11-25 |