Individual
AUDREY COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
11-13 SUNFLOWER AVE STE 1060, PARAMUS, NJ 07652-3754
(201) 485-6011
Mailing address
17 RIDGE RD, BUDD LAKE, NJ 07828-1913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00875400
NJ
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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