Individual
CRISTINA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFTI
Contact information
Practice address
2001 RIVER PARK CT, VALRICO, FL 33596-7233
(137) 129-9758
Mailing address
2001 RIVER PARK CT, VALRICO, FL 33596-7233
(813) 712-9975
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
45470
CA
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
10/20/2019
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