Individual provider · Type 1 NPI

Sasha Kostovetsky

Mental Health Counselor · San Diego, CA

NPI number 1073266714 Active

Practice location

3511 Camino Del Rio S Ste 303
San Diego, CA 92108-4043

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1073266714

Sasha Kostovetsky's National Provider Identifier is 1073266714, issued on Feb 2, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Feb 2, 2022.