Individual provider · Type 1 NPI

Jennifer L. De Costa, PhD, MFT, CSAC

Marriage & Family Therapist · Kailua Kona, HI

NPI number 1063665529 Active

Practice location

75-5751 Kuakini Hwy, Suite 105
Kailua Kona, HI 96740-1752

Call (808) 326-5629 Map

Fax (808) 329-5057

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFT272 (HI)
Addiction (Substance Use Disorder) Counselor 101YA0400X1249-05 (HI)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1063665529

Jennifer L. De Costa, PhD, MFT, CSAC's National Provider Identifier is 1063665529, issued on Oct 28, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Kailua Kona, HI. The record was last updated on Apr 6, 2011.