Provider Demographics
NPI:1386721355
Name:KOWALSKI, JAMES CHARLES (LPC, MAC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CHARLES
Last Name:KOWALSKI
Suffix:
Gender:M
Credentials:LPC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 EDGEWATER DR UNIT 604
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-6965
Mailing Address - Country:US
Mailing Address - Phone:706-835-6515
Mailing Address - Fax:
Practice Address - Street 1:620 EDGEWATER DR UNIT 604
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-6965
Practice Address - Country:US
Practice Address - Phone:706-835-6515
Practice Address - Fax:706-835-6515
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2066101YM0800X
NCLPC4433101YM0800X
GALPC003377101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty