MEDICARE: MRS. CORINA H KOJACK LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701004404	VA

General Provider Information

NPI Number	:	1538313069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CORINA H KOJACK LPC

Provider Business Mailing Address
First Line	:	PO BOX 62018
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23466-2018
Country	:	US
Telephone Number	:	757-631-0099
Fax Number	:	757-631-4971

Provider Business Practice Location Address
First Line	:	4937 CLEVELAND ST
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-5301
Country	:	US
Telephone Number	:	757-631-0099
Fax Number	:	757-631-4971

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2008
Last Update Date	:	07/10/2012

Similar Medicare Providers

1760748727 — SOUGHT OUT, INC.
Practice Location Address:

4937 CLEVELAND ST
VIRGINIA BEACH, VA
23462-5301

Practice Phone: 757-631-0099
Practice Fax:

1831052885 — EMILEE C LAM M.S., CCC-SLP
Practice Location Address:

5301 PROVIDENCE RD STE 90
VIRGINIA BEACH, VA
23464-4128

Practice Phone: 757-467-1900
Practice Fax:

1982657433 — IVYREHAB SEPT, LLC
Practice Location Address:

5301 PROVIDENCE RD , SUITE 80
VIRGINIA BEACH, VA
23464-4128

Practice Phone: 757-467-4604
Practice Fax: 757-467-2716

1265485726 — MR. RANDY EARL WANTTAJA M.A., C.C.C.-S.L.P.
Practice Location Address:

5301 PROVIDENCE RD , SUITE 80
VIRGINIA BEACH, VA
23464-4128

Practice Phone: 757-467-1900
Practice Fax: 757-467-7900

1669426714 — MS. JENNIFER ROSE WATSON M.P.T.
Practice Location Address:

5301 PROVIDENCE RD , SUITE 80
VIRGINIA BEACH, VA
23464-4128

Practice Phone: 757-467-1900
Practice Fax: 757-467-7900

1487608535 — MR. ERNEST PAUL RODRIGUEZ M.P.T.
Practice Location Address:

5301 PROVIDENCE RD , SUITE 80
VIRGINIA BEACH, VA
23464-4128

Practice Phone: 757-467-1900
Practice Fax: 757-467-7900

Directions to “ MRS. CORINA H KOJACK LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.