Milburn Cozort, CASAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bloomfield, MO
NPI 1295984599 · NPPES record last updated Sep 11, 2008
Key facts
- NPI
- 1295984599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 206 S Prairie Street
Bloomfield, MO 63825 - Phone
- (573) 568-2116
- Fax
- (573) 568-2997
- NPI assigned
- Sep 11, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
206 S Prairie Street
Bloomfield, MO 63825
Mailing address
206 S Prairie Street
Bloomfield, MO 63825
Phone (573) 568-2116
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All providers in Bloomfield, MO · Addiction (Substance Use Disorder) Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.