Organization
COSTA COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY COSTA (LCSW)
(919) 866-2273
Entity
Organization
Contact information
Practice address
3117 WHITING AVE, CHARLOTTE, NC 28205-1648
(919) 866-2273
Mailing address
3339 STOCKTIE RD, CHARLOTTE, NC 28210-6476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/29/2022
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