Individual
BRADLY MCKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11517 15TH AVE, LEMOORE, CA 93245-9508
(559) 380-0800
Mailing address
700 N IRWIN ST, HANFORD, CA 93230-3814
(559) 530-3488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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