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1275083040
REGINA COSTA
JACKSON, MI
NPI
1275083040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401013465)
Enumeration Date
2016-10-05
Last Update Date
2021-07-16
Business Address
REGINA COSTA LPC LMHC CADC MCAP
1200 N WEST AVE
JACKSON, MI 49202-2179
Phone number: 517-796-4525
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Mailing Address
REGINA COSTA LPC LMHC CADC MCAP
1200 N WEST AVE
JACKSON, MI 49202-2179
Phone number: 517-789-1209
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