Individual
ALEXANDER SEBASTIAN COSIO-SANTILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
3205 N TWYMAN RD, INDEPENDENCE, MO 64058-3211
(816) 249-5420
Mailing address
3205 N TWYMAN RD, INDEPENDENCE, MO 64058-3212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10265
MO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RA9460519
CA
Other
Enumeration date
10/13/2017
Last updated
12/23/2025
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