CASEY ROSE KOZLOV

BURIEN, WA
NPI1568865285
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: WA  LF60721682)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: WA  MG 60501427)
106H00000X Marriage & Family Therapist
(Licence: WA  MG 60501427)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA  CO 60502517)
Enumeration Date2014-10-08
Last Update Date2019-11-15
Business Address
Mrs. CASEY ROSE KOZLOV M.A., LMFT
15811 AMBAUM BLVD SW STE 110
BURIEN, WA 98166-3071
Phone number: 610-739-9475
Mailing Address
Mrs. CASEY ROSE KOZLOV M.A., LMFT
15811 AMBAUM BLVD SW STE 110
BURIEN, WA 98166-3071
Phone number: 610-739-9475