National Provider Identifier
Athena Kostick
Athena Kostick is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Santa Rosa, CA and a listed phone number of (707) 544-3295.
Source: public NPPES record, last updated March 04, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1033744636
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- March 04, 2020
- Last Updated
- March 04, 2020
Practice Location
- 2403 Professional Dr
- Santa Rosa, CA 95403-3007
Phone: (707) 544-3295
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Athena Kostick is a Santa Rosa-based behavioral health counselor whose official NPPES profile identifies addiction counseling as her primary area of practice.
Full Record
- NPI
- 1033744636
- Entity Type
- Individual
- Last Name
- Kostick
- First Name
- Athena
- Mailing Street Address
- 2403 Professional Dr
- Mailing City
- Santa Rosa
- Mailing State
- CA
- Mailing ZIP Code
- 95403-3007
- Mailing Country
- US
- Mailing Phone
- (707) 544-3295
- Mailing Fax
- (707) 544-9011
- Practice Street Address
- 2403 Professional Dr
- Practice City
- Santa Rosa
- Practice State
- CA
- Practice ZIP Code
- 95403-3007
- Practice Country
- US
- Practice Phone
- (707) 544-3295
- Practice Fax
- (707) 544-9011
- Enumeration Date
- March 04, 2020
- Last Updated
- March 04, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 04, 2020
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 490009BN (CA)