Kenneth Costa is a Peer Specialist based in Buffalo, NY. Kenneth Costa practices in Buffalo, NY. The NPI Number for Kenneth Costa is 1326806183 and holds a License No. (New York).
The current practice location address for Kenneth Costa is 69 Linwood Ave, Buffalo, NY and can be reached out via phone at 716-539-5260.
Location: 69 Linwood Ave, Buffalo, NY, 14209-2203
Provider Profile Details
NPI Number
1326806183
Provider Name
Kenneth Costa
Credential
Provider Entity Type
Individual
Gender
Male
Address
69 Linwood Ave, Buffalo, NY, 14209-2203
Phone Number
716-539-5260
Fax Number
Provider Enumeration Date
03/07/2024
Last Update Date
03/13/2024
Provider Business Practice Location Address Details
Address
69 Linwood Ave
City
State
Zip
14209-2203
Phone Number
716-539-5260
Fax Number
Provider Business Mailing Address Details
Address
69 Linwood Ave
City
State
Zip
14209-2203
Phone Number
716-539-5260
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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