Individual
SARAH KOSTELECKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
1215 2ND AVE, COLUMBUS, GA 31901-5244
(706) 324-4061
Mailing address
PO BOX 5328, COLUMBUS, GA 31906-0328
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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