Individual
TONYA COSTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
549 COX RD, GASTONIA, NC 28054-0628
(704) 332-9001
Mailing address
549 COX RD, GASTONIA, NC 28054-0628
(704) 332-9001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24251
NC
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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