Individual
ESTHER KOSTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 MARKET AVE N, CANTON, OH 44714-2605
(330) 453-8252
(330) 453-6716
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 453-8252
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.151976
OH
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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