person
Colombage Asha De Costa, LMHC,EDM
Mental Health Counselor in New York, New York
NPI 1629675194

Colombage Asha De Costa is a Mental Health Counselor based in New York, NY and is specialized in Mental Health. Colombage Asha De Costa practices in New York, NY and has the professional credentials of LMHC,EDM. The NPI Number for Colombage Asha De Costa is 1629675194 and holds a License No. 0086741-1 (New York).

The current practice location address for Colombage Asha De Costa is 106 Fort Washington Ave Apt 3K, New York, NY and can be reached out via phone at 917-406-4015.

Location: 106 Fort Washington Ave Apt 3K, New York, NY, 10032-4723
person
Provider Profile Details
NPI Number
1629675194
Provider Name
Colombage Asha De Costa
Credential
LMHC,EDM
Provider Entity Type
Individual
Gender
Female
Address
106 Fort Washington Ave Apt 3K, New York, NY, 10032-4723
Phone Number
917-406-4015
Fax Number
Provider Enumeration Date
10/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
106 Fort Washington Ave Apt 3K
City
State
Zip
10032-4723
Phone Number
917-406-4015
Fax Number
person
Provider Business Mailing Address Details
Address
106 Fort Washington Ave Apt 3K
City
State
Zip
10032-4723
Phone Number
917-406-4015
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0086741-1 (New York)
Definition
Definition to come...
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