Individual
ROSEMARY CHARMAINE DACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 W. CERRITOS, BUILDING 4, ANAHEIM, CA 92805
(714) 687-6710
Mailing address
21204 JASMINES WAY, LAKE FOREST, CA 92630
(949) 232-2290
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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