person
Mark Anthony Costa, CERTIFIEDCOUNSELOR
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1710668652

Mark Anthony Costa is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Mark Anthony Costa practices in Stockton, CA and has the professional credentials of CERTIFIEDCOUNSELOR. The NPI Number for Mark Anthony Costa is 1710668652 and holds a License No. 9533 (California).

The current practice location address for Mark Anthony Costa is 1105 N El Dorado St, Stockton, CA and can be reached out via phone at 209-938-0228 and via fax at 209-938-0281.

Location: 1105 N El Dorado St, Stockton, CA, 95202-1305
person
Provider Profile Details
NPI Number
1710668652
Provider Name
Mark Anthony Costa
Credential
CERTIFIEDCOUNSELOR
Provider Entity Type
Individual
Gender
Male
Address
1105 N El Dorado St, Stockton, CA, 95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
Provider Enumeration Date
07/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1105 N El Dorado St
City
State
Zip
95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
person
Provider Business Mailing Address Details
Address
1105 N El Dorado St
City
State
Zip
95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
9533 (California)
Definition
Definition to come...
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