SUSSANNIE LUCYNDA DA COSTA

SAINT MARIES, ID
NPI1841776184
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225C00000X Rehabilitation Counselor
Enumeration Date2018-07-18
Last Update Date2018-07-18
Business Address
SUSSANNIE LUCYNDA DA COSTA M.S., CRC,PsyD (ABD)
1525 MAIN AVE
SAINT MARIES, ID 83861-1216
Phone number: 208-717-1782
Mailing Address
SUSSANNIE LUCYNDA DA COSTA M.S., CRC,PsyD (ABD)
1525 MAIN AVE
SAINT MARIES, ID 83861-1216
Phone number: 208-717-1782