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NPI Code Detail

MEDICARE: KATHRYN KOZLOSKI

MEDICARE: KATHRYN KOZLOSKI
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 CounselorMN

General Provider Information

NPI Number : 1316804016
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN KOZLOSKI
Provider Business Mailing Address
First Line : 17077 78TH PL N
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55311-3760
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3395 PLYMOUTH RD
Second Line :
City : MINNETONKA
State : MN
Zip : 55305-3765
Country : US
Telephone Number : 952-939-0396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ KATHRYN KOZLOSKI ” Practice Location

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