person
Jessica Kostelic
Addiction (Substance Use Disorder) Counselor in San Rafael, California
NPI 1194260877

Jessica Kostelic is an Addiction (Substance Use Disorder) Counselor based in San Rafael, CA and is specialized in Addiction (Substance Use Disorder). Jessica Kostelic practices in San Rafael, CA. The NPI Number for Jessica Kostelic is 1194260877 and holds a License No. 9826-R (California).

The current practice location address for Jessica Kostelic is 1466 Lincoln Ave, San Rafael, CA and can be reached out via phone at 415-457-3755.

Location: 1466 Lincoln Ave, San Rafael, CA, 94901-2021
person
Provider Profile Details
NPI Number
1194260877
Provider Name
Jessica Kostelic
Credential
Provider Entity Type
Individual
Gender
Female
Address
1466 Lincoln Ave, San Rafael, CA, 94901-2021
Phone Number
415-457-3755
Fax Number
Provider Enumeration Date
01/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1466 Lincoln Ave
City
State
Zip
94901-2021
Phone Number
415-457-3755
Fax Number
person
Provider Business Mailing Address Details
Address
1466 Lincoln Ave
City
State
Zip
94901-2021
Phone Number
415-457-3755
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
9826-R (California)
Definition
Definition to come...
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