Individual provider · Type 1 NPI
Charles Phillip Costa, MAPC
Professional Counselor · Athens, GA
NPI number
1487988283
Active
Practice location
2085 S Milledge Ave Ste 1
Athens, GA 30605-1655
Fax (706) 552-0756
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC007024 (GA) |
Professional Counselor: Definition to come...
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About NPI 1487988283
Charles Phillip Costa, MAPC's National Provider Identifier is 1487988283, issued on Sep 25, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Athens, GA. The record was last updated on Nov 1, 2012.