Individual
MICHELE COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
181 PRIVATE PL, FRIDAY HARBOR, WA 98250-4801
(206) 780-7988
Mailing address
19240 JENSEN WAY NE UNIT 2898, POULSBO, WA 98370-6294
(206) 678-1440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60615068
WA
Other
Enumeration date
04/06/2017
Last updated
11/29/2023
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