Provider Demographics
NPI:1841909603
Name:KOSHIOL, JOSHUA (LPC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:KOSHIOL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3936 GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60513-2132
Mailing Address - Country:US
Mailing Address - Phone:630-880-1718
Mailing Address - Fax:
Practice Address - Street 1:7800 W COLLEGE DR # 203
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1007
Practice Address - Country:US
Practice Address - Phone:708-448-7848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.016258101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor