Individual
RAYMOND COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4122 ROUTE 516, SUITE C AND D, MATAWAN, NJ 07747-7022
(732) 679-4500
(732) 679-4549
Mailing address
4122 ROUTE 516, SUITE C AND D, MATAWAN, NJ 07747-7022
(732) 679-4500
(732) 679-4549
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00394900
NJ
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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