Kostelic, Jessica

Kostelic, Jessica is an individual health care provider with primary practice located at 1466 Lincoln Ave , San Rafael CA 94901-2021. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Kostelic, Jessica can be contacted via phone (415) 457-3755.

Contact Information

Primary practice address
1466 Lincoln Ave San Rafael CA 94901-2021
Phone: (415) 457-3755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9826-R California

Profile Details

NPI number 1194260877
LBN Legal business name Kostelic, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2017
Last updated Jan 4th, 2017 - about 9 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.

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