AMANDA RAE COSTA

SALT LAKE CITY, UT
NPI1477045979
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2018-05-31
Last Update Date2018-05-31
Business Address
AMANDA RAE COSTA M.S.ED MENTAL HEALTH
2200 S STATE ST
SALT LAKE CITY, UT 84115-2724
Phone number: 801-359-8862
Mailing Address
AMANDA RAE COSTA M.S.ED MENTAL HEALTH
705 E KENSINGTON AVE
SALT LAKE CITY, UT 84105-2224
Phone number: 786-553-0488
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