Individual
ALEXA RODRIGUEZ COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1628 W MONTROSE AVE, CHICAGO, IL 60613-1214
(773) 654-1865
Mailing address
3821 N GREENVIEW AVE APT 2E, CHICAGO, IL 60613-2756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
221700000X
Art Therapist
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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