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1144418088
JULENE COSTON
MERIDIAN, ID
NPI
1144418088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LCPC263)
Enumeration Date
2007-10-04
Last Update Date
2007-10-04
Business Address
JULENE COSTON LCPC
366 SW 5TH AVE
MERIDIAN, ID 83642-8600
Phone number: 208-898-9755
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Mailing Address
JULENE COSTON LCPC
2222 WHITE PINE PL
BOISE, ID 83706-4461
Phone number:
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