Basic Information
| Provider Information | |||||||||
| NPI: | 1235321019 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KOSTIN | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | D | ||||||||
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| OtherOrganizationName: | |||||||||
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| OtherLastName: | MARTINEZ | ||||||||
| OtherFirstName: | MARIA | ||||||||
| OtherMiddleName: | D | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2238 E GINTER ROAD | ||||||||
| Address2: | SUNNYSIDE UNIFIED SCHOOL DISTRICT NO 12 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5205452137 | ||||||||
| FaxNumber: | 5205452120 | ||||||||
| Practice Location | |||||||||
| Address1: | 2238 E GINTER ROAD | ||||||||
| Address2: | SUNNYSIDE UNIFIED SCHOOL DISTRICT NO 12 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5205452137 | ||||||||
| FaxNumber: | 5205452120 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2007 | ||||||||
| LastUpdateDate: | 08/29/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YS0200X | AZ | Y | Behavioral Health & Social Service Providers | Counselor | School |
No ID Information.