SPENCER KOSTKA

APPLETON, WI
NPI1699563841
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20547)
Enumeration Date2025-04-28
Last Update Date2025-04-28
Business Address
SPENCER KOSTKA
3301 N BALLARD RD STE B
APPLETON, WI 54911-9002
Phone number: 920-733-4443
Mailing Address
SPENCER KOSTKA
3301 N BALLARD RD STE B
APPLETON, WI 54911-9002
Phone number: 920-733-4443