PHILLICIA DACOSTA

PARAMUS, NJ
NPI1164184511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NJ  37AC00502900)
Enumeration Date2021-10-12
Last Update Date2021-10-12
Business Address
PHILLICIA DACOSTA LAC
610 VALLEY HEALTH PLZ
PARAMUS, NJ 07652-3607
Phone number: 917-282-7894
Mailing Address
PHILLICIA DACOSTA LAC
200 CLINTON PL
HACKENSACK, NJ 07601-3603
Phone number: 917-282-7894
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