Jennie Wyatt-Coste, 071607
NPI #1558751859 in Pacoima, California
Provider Information
- NPI Number
- 1558751859
- Entity Type
- Individual
- Name
- Jennie Wyatt-Coste, 071607
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- 071607
- Enumeration Date
- Jan 26, 2015
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 11643 GLENOAKS BLVD
- City
- Pacoima
- State
- California
- ZIP Code
- 91331-1050
- Phone
- (818) 897-2609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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