Kokosko, Gregory A

Kokosko, Gregory A is an sole proprietor health care provider with primary practice located at 611 Belmont Ave , Youngstown OH 44502-1037. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Kokosko, Gregory A can be contacted via phone (330) 744-2991.

Contact Information

Primary practice address
611 Belmont Ave Youngstown OH 44502-1037
Phone: (330) 744-2991
Fax: (330) 744-2971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 923337 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0001027 Ohio

Profile Details

NPI number 1477854743
LBN Legal business name Kokosko, Gregory A
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2010
Last updated Nov 3rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477854743 NPPES
Ohio MEDICAID 0241705

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