DAMIAN COSTA

SANTA CLARITA, CA
NPI1215329479
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RII0241114)
Enumeration Date2015-02-25
Last Update Date2015-02-25
Business Address
-- DAMIAN COSTA
24460 LYONS AVE
SANTA CLARITA, CA 91321-2347
Phone number: 661-253-9400
Mailing Address
-- DAMIAN COSTA
6166 VESPER AVE
VAN NUYS, CA 91411-2851
Phone number: 818-997-0414
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