Provider Information for 1386721355
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Dr. JAMES CHARLES KOWALSKI LPC, MAC
Sex: Male
NPI: 1386721355
Last Updated: 2020-12-01
Certification Date: 2020-12-01
Certification Date: 2020-12-01
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1386721355 | ||||||||||||||||
| Enumeration Date | 2006-11-01 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 620 EDGEWATER DR UNIT 604 DUNEDIN, FL 34698-6965 United States Phone: 706-835-6515 | Fax: | ||||||||||||||||
| Primary Practice Address | 620 EDGEWATER DR UNIT 604 DUNEDIN, FL 34698-6965 United States Phone: 706-835-6515 | Fax:706-835-6515 | ||||||||||||||||
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