Provider Demographics
NPI:1598030785
Name:COSTON, FRANK E
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:E
Last Name:COSTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 EDGMONT AVE
Mailing Address - Street 2:ERC, SUITE #2575
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-3962
Mailing Address - Country:US
Mailing Address - Phone:610-499-7533
Mailing Address - Fax:610-490-7949
Practice Address - Street 1:1350 EDGMONT AVE
Practice Address - Street 2:ERC, SUITE #2575
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-3962
Practice Address - Country:US
Practice Address - Phone:610-499-7533
Practice Address - Fax:610-490-7949
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)