Kostuch, Julie Ann
Kostuch, Julie Ann is an sole proprietor health care provider with primary practice located at 128 W 14Th St Ste 202 , Durango CO 81301-5100. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kostuch, Julie Ann can be contacted via phone (970) 375-7736.Contact Information
Primary practice address
128 W 14Th St Ste 202
Durango CO 81301-5100
Phone: (970) 375-7736
Fax: (970) 375-7736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1192 | Colorado |
Profile Details
| NPI number | 1881741528 |
|---|---|
| LBN Legal business name | Kostuch, Julie Ann |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881741528 | NPPES |
| Colorado | MEDICAID | 093115 |
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