Individual provider · Type 1 NPI

Olivia Kostreva

Professional Counselor · Madison, WI

NPI number 1962130211 Active

Practice location

301 S Blount St
Madison, WI 53703-4664

Mailing address

702 N Blackhawk Ave Ste 205
Madison, WI 53705-3357

Other practice locations

  • 702 N Blackhawk Ave Ste 205, Madison, WI 53705-3357 · (608) 233-3037

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1962130211

Olivia Kostreva's National Provider Identifier is 1962130211, issued on Aug 12, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Mar 17, 2024.