Individual provider · Type 1 NPI

Mark Anthony Costa, CERTIFIED COUNSELOR

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1710668652 Active

Practice location

1105 N El Dorado St
Stockton, CA 95202-1305

Call (209) 938-0228 Map

Fax (209) 938-0281

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X9533 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1710668652

Mark Anthony Costa, CERTIFIED COUNSELOR's National Provider Identifier is 1710668652, issued on Jul 25, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Jul 25, 2023.