Individual
OLIVIA KOSTREVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S BLOUNT ST, MADISON, WI 53703-4664
(608) 405-5111
Mailing address
702 N BLACKHAWK AVE STE 205, MADISON, WI 53705-3357
(608) 233-3037
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/12/2022
Last updated
03/17/2024
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