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NPI Code Detail

MEDICARE: CAROLYN OZIMOK LMFT

MEDICARE:   CAROLYN  OZIMOK  LMFT
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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NONEOTHERCANONE

General Provider Information

NPI Number : 1669003091
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN OZIMOK LMFT
Provider Business Mailing Address
First Line : 336 LAWNDALE DR
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27104-4014
Country : US
Telephone Number : 562-708-6801
Fax Number :
Provider Business Practice Location Address
First Line : 13001 SEAL BEACH BLVD STE 360
Second Line :
City : SEAL BEACH
State : CA
Zip : 90740-2747
Country : US
Telephone Number : 562-708-6801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2020
Last Update Date : 04/04/2022

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Directions to “ CAROLYN OZIMOK LMFT” Practice Location

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