Individual
YESENIA COSME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
8473 BUMBLE BEE WAY, TOBYHANNA, PA 18466-3423
(570) 972-9774
Mailing address
8473 BUMBLE BEE WAY, TOBYHANNA, PA 18466-3423
(570) 972-9774
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24536
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8253
PA
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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