Individual
MS. JULIE ANN KOSTUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
128 W 14TH ST STE 202, DURANGO, CO 81301-5100
(970) 375-7736
(970) 375-7736
Mailing address
128 W 14TH ST STE 202, DURANGO, CO 81301-5100
(970) 375-7736
(970) 375-7736
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1192
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093115
—
CO
Enumeration date
01/04/2007
Last updated
07/08/2007
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