Individual
COLOMBAGE ASHA DE COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, ED.M
Contact information
Practice address
106 FORT WASHINGTON AVE APT 3K, NEW YORK, NY 10032-4723
(917) 406-4015
Mailing address
106 FORT WASHINGTON AVE APT 3K, NEW YORK, NY 10032-4723
(917) 406-4015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0086741-1
NY
Other
Enumeration date
10/07/2020
Last updated
11/10/2020
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