Individual
MS. JULIE TERESA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
8020 W 87TH ST, HICKORY HILLS, IL 60457-1189
(708) 745-5277
(708) 745-4501
Mailing address
8020 W 87TH ST, HICKORY HILLS, IL 60457-1189
(708) 745-5277
(708) 745-4501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30857
IL
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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