MEDICARE: MRS. CLAUDIA KIMBERLY KOSLOW LMHC, MCAP, CTT, CAI

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	CAP 2886	FL
2	101YM0800X	Mental Health Counselor	MH9363	FL

General Provider Information

NPI Number	:	1083870380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CLAUDIA KIMBERLY KOSLOW LMHC, MCAP, CTT, CAI

Provider Business Mailing Address
First Line	:	521 LAKE AVE STE 4
Second Line	:
City	:	LAKE WORTH BEACH
State	:	FL
Zip	:	33460-3847
Country	:	US
Telephone Number	:	954-540-8441
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 LAKE AVE STE 4
Second Line	:
City	:	LAKE WORTH BEACH
State	:	FL
Zip	:	33460-3847
Country	:	US
Telephone Number	:	954-540-8441
Fax Number	:

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

Provider Enumeration Date	:	08/06/2008
Last Update Date	:	05/23/2022

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