KATIE ELIZABETH BOSTIC

MIDDLEPORT, OH
NPI1326631425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  175856)
Enumeration Date2021-02-19
Last Update Date2021-02-19
Business Address
KATIE ELIZABETH BOSTIC CDCA
788 N 2ND AVE
MIDDLEPORT, OH 45760-1014
Phone number: 740-992-3965
Mailing Address
KATIE ELIZABETH BOSTIC CDCA
801 YELLOWTOWN RD
PATRIOT, OH 45658-9049
Phone number: 740-794-0735