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Individual

JOANNE KOSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
428 CROGHAN ST, FREMONT, OH 43420-2448
(419) 355-9169
Mailing address
2521 COUNTY ROAD 41, FREMONT, OH 43420-8980
(419) 355-9169

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDC.131173
OH
101YP2500X
Professional Counselor
Primary
E.1800690
OH

Other

Enumeration date
08/29/2013
Last updated
06/20/2019
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