Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1295858454 |
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| LBN Legal business name | AUDREY KAZMIERCZAK COUNSELING SERVICE | ||||||||||||||||
| Authorized official | AUDREY KAZMIERCZAK - (OWNER DIRECTOR COUNSELOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 04/10/2007 | ||||||||||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||||||||||
| Identifiers |
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