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Individual

THOMAS D. KOSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC, MSC

Contact information

Practice address
106 W BROADWAY ST, BUTTE, MT 59701-9224
(406) 723-5489
(406) 782-4020
Mailing address
T-9 FORT MISSOULA, MISSOULA, MT 59804-7202
(406) 532-8400
(406) 543-9316

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1310
MT

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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