Individual provider · Type 1 NPI

David J. Kosko, ICADC

Addiction (Substance Use Disorder) Counselor · Marietta, OH

NPI number 1003178872 Active

Practice location

207 Colegate Dr
Marietta, OH 45750-2363

Fax (740) 376-0933

Mailing address

PO Box 1385
Parkersburg, WV 26102-1385

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X923161 (OH)
Social Worker 104100000XS.0016323 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003178872

David J. Kosko, ICADC's National Provider Identifier is 1003178872, issued on Jun 8, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Marietta, OH. The record was last updated on Jun 8, 2012.