Individual provider · Type 1 NPI

Amanda Rae Costa, M.S.ED MENTAL HEALTH

Mental Health Counselor · Salt Lake City, UT

NPI number 1477045979 Active

Practice location

2200 S State St
Salt Lake City, UT 84115-2724

Call (801) 359-8862 Map

Mailing address

705 E Kensington Ave
Salt Lake City, UT 84105-2224

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477045979

Amanda Rae Costa, M.S.ED MENTAL HEALTH's National Provider Identifier is 1477045979, issued on May 31, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on May 31, 2018.