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NPI Code Detail

MEDICARE: RHONDA LEE KOZUMPLIK MA LPC, CADC

MEDICARE: RHONDA LEE KOZUMPLIK MA LPC, CADC
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
1101Y00000XCounselor6401222842MI
2101YP2500XProfessional Counselor6401013075MI
3101Y00000XCounselor

General Provider Information

NPI Number : 1699034306
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA LEE KOZUMPLIK MA LPC, CADC
Provider Business Mailing Address
First Line : 9130 MCWAIN RD
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-8005
Country : US
Telephone Number : 810-625-3002
Fax Number :
Provider Business Practice Location Address
First Line : 8245 HOLLY RD STE 200
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-2483
Country : US
Telephone Number : 810-625-3002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2012
Last Update Date : 05/30/2023

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