Mark Anthony Costa, CERTIFIEDCOUNSELOR
Mark Anthony Costa, CERTIFIEDCOUNSELOR is an Addiction (Substance Use Disorder) Counselor in Stockton, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
1105 N El Dorado StStockton, CA 95202-1305
Phone: (209) 938-0228
Fax: (209) 938-0281
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 9533 (CA) |
|---|
Record details
| NPI number | 1710668652 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CERTIFIEDCOUNSELOR |
| Sole proprietor | No |
| NPI enumerated | July 25, 2023 |
| Last updated in NPPES | July 25, 2023 |
| Certification date | July 25, 2023 |
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