Individual provider · Type 1 NPI

Gail Costa, BS, LADC

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1811320591 Active

Practice location

1500 Golden Valley Rd
Minneapolis, MN 55411-3139

Fax (612) 520-0047

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X303513 (MN)

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

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About NPI 1811320591

Gail Costa, BS, LADC's National Provider Identifier is 1811320591, issued on Aug 16, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 16, 2013.