Athena Kostick
Athena Kostick is an Addiction (Substance Use Disorder) Counselor in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
2403 Professional DrSanta Rosa, CA 95403-3007
Phone: (707) 544-3295
Fax: (707) 544-9011
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (CA) |
|---|
Record details
| NPI number | 1033744636 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 4, 2020 |
| Last updated in NPPES | March 4, 2020 |
| Certification date | March 4, 2020 |
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