MARK ANTHONY COSTA

STOCKTON, CA
NPI1710668652
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  9533)
Enumeration Date2023-07-25
Last Update Date2023-07-25
Business Address
MARK ANTHONY COSTA Certified Counselor
1105 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
Mailing Address
MARK ANTHONY COSTA Certified Counselor
1105 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
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