Provider Demographics
NPI:1992329676
Name:KOWALSKI, ANN (LMHC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:KOWALSKI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1259 OLD SANDWICH RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-2516
Mailing Address - Country:US
Mailing Address - Phone:508-517-0679
Mailing Address - Fax:
Practice Address - Street 1:1259 OLD SANDWICH RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-2516
Practice Address - Country:US
Practice Address - Phone:508-517-0679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11836101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health