person
Phillicia Dacosta, LAC
Mental Health Counselor in Paramus, New Jersey
NPI 1164184511

Phillicia Dacosta is a Mental Health Counselor based in Hackensack, NJ and is specialized in Mental Health. Phillicia Dacosta practices in Paramus, NJ and has the professional credentials of LAC. The NPI Number for Phillicia Dacosta is 1164184511 and holds a License No. 37AC00502900 (New Jersey).

The current practice location address for Phillicia Dacosta is 610 Valley Health Plz, Paramus, NJ and can be reached out via phone at 917-282-7894.

Location: 610 Valley Health Plz, Paramus, NJ, 07601-3603
person
Provider Profile Details
NPI Number
1164184511
Provider Name
Phillicia Dacosta
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
610 Valley Health Plz, Paramus, NJ, 07601-3603
Phone Number
917-282-7894
Fax Number
Provider Enumeration Date
10/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37AC00502900 01 NJ STATE BOARD OF MARRIAGE AND FAMILY THERAPY EXAMINERS
institution
Provider Business Practice Location Address Details
Address
610 Valley Health Plz
City
State
Zip
07652-3607
Phone Number
917-282-7894
Fax Number
person
Provider Business Mailing Address Details
Address
610 Valley Health Plz
City
State
Zip
07652-3607
Phone Number
917-282-7894
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
37AC00502900 (New Jersey)
Definition
Definition to come...
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