Kozlenko Shields, Ala V

Kozlenko Shields, Ala V is an sole proprietor health care provider with primary practice located at 170 Morton St C/O Hopefound Mstab, Jamaica Plain MA 02130-3735. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Kozlenko Shields, Ala V can be contacted via phone (617) 983-0351.

Contact Information

Primary practice address
170 Morton St C/O Hopefound Mstab Jamaica Plain MA 02130-3735
Phone: (617) 983-0351
Fax: (866) 770-4430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1124338124
LBN Legal business name Kozlenko Shields, Ala V
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2010
Last updated Oct 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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