Provider Demographics
NPI:1427817253
Name:JENNIFER GIUSTRA-KOZEK LPC LLC
Entity type:Organization
Organization Name:JENNIFER GIUSTRA-KOZEK LPC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST / OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:T
Authorized Official - Last Name:GIUSTRA-KOZEK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-417-7793
Mailing Address - Street 1:8 EVERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06478-1472
Mailing Address - Country:US
Mailing Address - Phone:203-417-7793
Mailing Address - Fax:
Practice Address - Street 1:787 MAIN ST S UNIT A-5
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:CT
Practice Address - Zip Code:06798-3741
Practice Address - Country:US
Practice Address - Phone:203-714-4413
Practice Address - Fax:203-714-4723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty