Colette A Bukowski, LPCC
Counselor, Professional in Willoughby, OH. Individual provider (NPI-1).
NPI number1598818312
StatusActive
Last updated in NPPESJul 26, 2007
Details
- NPI
- 1598818312
- Entity type
- Individual (NPI-1)
- Name
- Ms. Colette A Bukowski
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2007
- Last updated
- Jul 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | E4173 | OH | Yes |
Practice location
34900 Chardon RdSuite 102
Willoughby, OH 44094-9161
Phone 216-548-1439
Mailing address
1760 Sunview RdLyndhurst, OH 44124-2843
Phone 440-473-0230
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