MR. Ricky Lavorn Coston JR.

NPI #1649048117 in Bealeton, Virginia

Provider Information

NPI Number
1649048117
Entity Type
Individual
Name
MR. Ricky Lavorn Coston JR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - School
Enumeration Date
Dec 14, 2023
Last Updated
Dec 14, 2023

Practice Location

Address
11164 WILLOW DR APT T
ZIP Code
22712-9210
Phone
(757) 746-0113

Specialties & Taxonomy Codes

Specialty
Counselor
Counselor - SchoolSchool

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