Individual
ELIZABETH KOSTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
51 MARKET STREET, BANGOR, PA 18013
(610) 588-9109
Mailing address
51 MARKET ST, BANGOR, PA 18013-1901
(610) 588-9101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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