BLAZE ANTHONY COSKO

LOS ANGELES, CA
NPI1205591930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  121781)
Enumeration Date2021-11-08
Last Update Date2021-11-08
Business Address
BLAZE ANTHONY COSKO MA
11826 PALMS BLVD
LOS ANGELES, CA 90066-2014
Phone number: 424-744-0675
Mailing Address
BLAZE ANTHONY COSKO MA
11826 PALMS BLVD
LOS ANGELES, CA 90066-2014
Phone number: 424-744-0675