Individual provider · Type 1 NPI

Desire Monique Acosta

Mental Health Counselor · San Jacinto, CA

NPI number 1104017045 Active

Practice location

102 W Main St
San Jacinto, CA 92583-4121

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104017045

Desire Monique Acosta's National Provider Identifier is 1104017045, issued on Aug 6, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jacinto, CA. The record was last updated on Aug 6, 2007.