Provider Demographics
NPI:1306675343
Name:COSTON, KAREN HOKE
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:HOKE
Last Name:COSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LESLIE
Other - Last Name:HOKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4422 OLD US 421 HWY E
Mailing Address - Street 2:
Mailing Address - City:YADKINVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27055-8046
Mailing Address - Country:US
Mailing Address - Phone:336-466-2072
Mailing Address - Fax:
Practice Address - Street 1:163 STRATFORD CT STE 170
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1833
Practice Address - Country:US
Practice Address - Phone:336-831-4051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical