Forrest Blake Kostek is a mental health counselor in Wasilla, AK. Forrest Blake Kostek NPI is 1104425172. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
291 E SWANSON AVE
WASILLA, AK
ZIP 99654-004
Phone: (907) 715-9423
The enumeration date for this NPI number is 10/21/2020 and was last updated on 10/21/2020.