Most Relevant Information
Provider Data
| NPI Number: | 1003178872 |
| Provider Name: | DAVID J. KOSKO ICADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 923161 |
Most Important Dates
| Enumeration Date: | 06/08/2012 |
| Last Updated: | 06/08/2012 |
Provider Practice Location
207 COLEGATE DR
MARIETTA
OH
457502363
Practice Location Phone/Fax
| Phone: | 7403760930 |
| Fax: | 7403760933 |
Provider Mailing Location
PO BOX 1385
PARKERSBURG
WV
261021385
Provider Mailing Phone/Fax
| Phone: | 3044221405 |
| Fax: | 3044854466 |