DAVID J. DECOSTA

TIVERTON, RI
NPI1285298299
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  CDP00785)
Enumeration Date2019-04-24
Last Update Date2024-08-11
Business Address
DAVID J. DECOSTA LCDP
105 FIR AVE
TIVERTON, RI 02878-1640
Phone number: 401-297-9090
Mailing Address
DAVID J. DECOSTA LCDP
105 FIR AVE
TIVERTON, RI 02878-1640
Phone number: 401-297-9090
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