Individual ProviderMadeleine Rebecca KostmanMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address10661 Wilkins Ave Apt 3, Los Angeles, CA 90024-5837(310) 387-1492PECOS EnrollmentBased on the most recent information from CMS, provider Madeleine Rebecca Kostman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1720963044Provider TypeIndividualFull NameKostman, Madeleine RebeccaCredentialLMFTGenderFemaleSole ProprietorNoEnumeration Date8/6/2025Last Updated8/6/2025Contact InformationPractice LocationPractice Address10661 Wilkins Ave Apt 3, Los Angeles, CA 90024-5837Phone(310) 387-1492FaxUnlisted FaxMailing LocationMailing Address10661 Wilkins Ave Apt 3, Los Angeles, CA 90024-5837Phone(310) 387-1492FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense140335California