MEDICARE: CLAUDIA OLIVIA POZO MS, LLPC

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	6401014837	MI

General Provider Information

NPI Number	:	1295116648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA OLIVIA POZO MS, LLPC

Provider Business Mailing Address
First Line	:	1458 M 139
Second Line	:
City	:	BENTON HARBOR
State	:	MI
Zip	:	49022
Country	:	US
Telephone Number	:	269-934-0703
Fax Number	:

Provider Business Practice Location Address
First Line	:	1458 M 139
Second Line	:
City	:	BENTON HARBOR
State	:	MI
Zip	:	49022
Country	:	US
Telephone Number	:	269-934-0703
Fax Number	:

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

Provider Enumeration Date	:	06/11/2015
Last Update Date	:	06/11/2015

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