Individual
AMANDA CZOSTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
42590 STEPNITZ DR, CLINTON TWP, MI 48036-3161
(586) 954-1838
Mailing address
51928 BOLAND RD, CHESTERFIELD, MI 48047-3150
(586) 219-7953
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6451023209
MI
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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