Individual
MISS DANA MARIE KOSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LAC
Contact information
Practice address
151 FRIES MILL RD STE 301, TURNERSVILLE, NJ 08012-2016
(856) 589-3420
Mailing address
151 FRIES MILL RD STE 301, TURNERSVILLE, NJ 08012-2016
(856) 589-3420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00678500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37PC00678500
STATE
NJ
Enumeration date
04/16/2007
Last updated
04/30/2024
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