Individual
SKI MARIE KOSTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4530 NORTHERN SKY DR, BISMARCK, ND 58503-8534
(701) 751-6336
Mailing address
4530 NORTHERN SKY DR, BISMARCK, ND 58503-8534
(701) 751-6336
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1084-9-15-20
ND
Other
Enumeration date
10/02/2023
Last updated
08/26/2024
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