Individual
NOELLE MARIE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 552-2774
Mailing address
2934 N FRESNO ST, FRESNO, CA 93703-1123
(559) 558-4051
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
114790
CA
Other
Enumeration date
12/27/2018
Last updated
09/11/2025
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