Most Relevant Information
Provider Data
| NPI Number: | 1003211343 |
| Provider Name: | OLIVIA KOZAREV LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/29/2014 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
1252 BROADWAY STE I
EL CAJON
CA
920214904
Practice Location Phone/Fax
| Phone: | 6193751733 |
| Fax: | 6196846078 |
Provider Mailing Location
1252 BROADWAY STE I
EL CAJON
CA
920214904
Provider Mailing Phone/Fax
| Phone: | 6193751733 |
| Fax: | 6196846078 |