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Dr. Vincent Costa, DR
Professional Counselor in Charlotte, North Carolina
NPI 1194113084

Vincent Costa is a Professional Counselor based in Charlotte, NC and is specialized in Professional. Vincent Costa practices in Charlotte, NC and has the professional credentials of DR. The NPI Number for Vincent Costa is 1194113084 and holds a License No. 8321 (North Carolina).

The current practice location address for Vincent Costa is 2124 Crown Centre Dr Ste 400, Charlotte, NC and can be reached out via phone at 704-849-0144.

Location: 2124 Crown Centre Dr Ste 400, Charlotte, NC, 28278-8004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194113084
Provider Name
Vincent Costa
Credential
DR
Provider Entity Type
Individual
Gender
Male
Address
2124 Crown Centre Dr Ste 400, Charlotte, NC, 28278-8004
Phone Number
704-849-0144
Fax Number
Provider Enumeration Date
12/31/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8321 01 NC LICENSED PROFESSIONAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
2124 Crown Centre Dr Ste 400
City
Charlotte
State
North Carolina
Zip
28227-7804
Phone Number
704-849-0144
Fax Number
person
Provider Business Mailing Address Details
Address
2124 Crown Centre Dr Ste 400
City
Charlotte
State
North Carolina
Zip
28227-7804
Phone Number
704-849-0144
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
8321 (North Carolina)
Definition
Definition to come...
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