Individual
MS. MICHELLE CLAIRE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4113 WILLIAMS BLVD, KENNER, LA 70065-2202
(504) 464-1021
(504) 464-1022
Mailing address
5721 PARKAIRE DR, METAIRIE, LA 70003-2321
(504) 220-2525
(504) 885-6974
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4469
LA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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