Individual provider · Type 1 NPI
Jeanette Marie Costa, MA, LPC
Professional Counselor · Phoenix, AZ
NPI number
1063676559
Active
Practice location
1010 E Mcdowell Rd Ste 301
Phoenix, AZ 85006-2609
Fax (602) 955-0165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC 10160 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1063676559
Jeanette Marie Costa, MA, LPC's National Provider Identifier is 1063676559, issued on Jul 14, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 14, 2008.