Provider Demographics
NPI:1871083063
Name:LOZON, JOAN (COUNSELOR)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:
Last Name:LOZON
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5461 SOUTHWYCK BLVD STE 2P
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1553
Mailing Address - Country:US
Mailing Address - Phone:419-913-8680
Mailing Address - Fax:419-913-8680
Practice Address - Street 1:5461 SOUTHWYCK BLVD STE 2P
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1553
Practice Address - Country:US
Practice Address - Phone:419-913-8680
Practice Address - Fax:419-913-8680
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLCDCII.081106171M00000X
OHC.2406274101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator