Kotlik-Konev, Ira

Kotlik-Konev, Ira is an individual health care provider with primary practice located at 1333 Willow Pass Rd Suite 102, Concord CA 94520-7930. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Kotlik-Konev, Ira can be contacted via phone (925) 825-1793.

Contact Information

Primary practice address
1333 Willow Pass Rd Suite 102 Concord CA 94520-7930
Phone: (925) 825-1793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1326247487
LBN Legal business name Kotlik-Konev, Ira
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2007
Last updated Aug 12th, 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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