Provider Demographics
NPI:1154568921
Name:KAZOUR, JILL HENKEL (MSED)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:HENKEL
Last Name:KAZOUR
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3162
Mailing Address - Country:US
Mailing Address - Phone:412-874-8186
Mailing Address - Fax:
Practice Address - Street 1:1310 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3162
Practice Address - Country:US
Practice Address - Phone:412-874-8186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-14
Last Update Date:2024-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health