Individual
ALYSSA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
7710 NW 71ST CT, TAMARAC, FL 33321-2973
(754) 201-3090
Mailing address
208 E PALM ST, LANTANA, FL 33462-2908
(856) 630-1819
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00871200
NJ
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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