Individual
ANNA AYERS COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC-A
Contact information
Practice address
942 W 4TH ST, WINSTON SALEM, NC 27101-2582
(336) 701-0424
Mailing address
1409 KENWOOD ST, WINSTON SALEM, NC 27103-4839
(336) 413-4569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15103
NC
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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