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Individual
NOELE A KOSTELIC
Active
Individual
NOELE A KOSTELIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
I3930412
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
RRW3350
CA
Other
Enumeration date
06/23/2011
Last updated
06/11/2012
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