Individual
KIANA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 TOLL GATE RD STE 103, WARWICK, RI 02886-4440
(401) 477-9446
Mailing address
182 GROVE AVE APT 2, EAST PROVIDENCE, RI 02914-3747
(401) 919-7353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW02849
LCSW
RI
Enumeration date
11/17/2022
Last updated
11/17/2022
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