CHARLES PHILLIP COSTA

ATHENS, GA
NPI1487988283
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: GA  LPC007024)
Enumeration Date2009-09-25
Last Update Date2012-11-01
Business Address
-- CHARLES PHILLIP COSTA MAPC
2085 S MILLEDGE AVE STE 1
ATHENS, GA 30605-1655
Phone number: 706-206-3601
Mailing Address
-- CHARLES PHILLIP COSTA MAPC
2085 S MILLEDGE AVE STE 1
ATHENS, GA 30605-1655
Phone number: 706-206-3601
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