Provider Demographics
NPI:1528094174
Name:LOSIK, FRANK (MFT)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:LOSIK
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 CARMELITA DR
Mailing Address - Street 2:UNIT 2
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-1553
Mailing Address - Country:US
Mailing Address - Phone:831-784-0646
Mailing Address - Fax:831-784-0646
Practice Address - Street 1:550 CAMINO EL ESTERO
Practice Address - Street 2:SUITE 203
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3231
Practice Address - Country:US
Practice Address - Phone:831-646-5233
Practice Address - Fax:831-784-0646
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT22324106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFT22324OtherLICENSED MFT