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Shivonne Costa
Mental Health Counselor in Latrobe, Pennsylvania
NPI 1477303485

Shivonne Costa is a Mental Health Counselor based in Latrobe, PA and is specialized in Mental Health. Shivonne Costa practices in Latrobe, PA. The NPI Number for Shivonne Costa is 1477303485 and holds a License No. (Pennsylvania).

The current practice location address for Shivonne Costa is 1501 Ligonier St, Latrobe, PA and can be reached out via phone at 724-804-7297.

Location: 1501 Ligonier St, Latrobe, PA, 15650-2912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477303485
Provider Name
Shivonne Costa
Credential
Provider Entity Type
Individual
Gender
Female
Address
1501 Ligonier St, Latrobe, PA, 15650-2912
Phone Number
724-804-7297
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1501 Ligonier St
City
Latrobe
State
Pennsylvania
Zip
15650-2912
Phone Number
724-804-7297
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Ligonier St
City
Latrobe
State
Pennsylvania
Zip
15650-2912
Phone Number
724-804-7297
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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