Individual
AMY COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
9820 WILLOW CREEK RD, 245, SAN DIEGO, CA 92131-1112
(619) 621-1059
Mailing address
3960 W POINT LOMA BLVD, H-270, SAN DIEGO, CA 92110-5643
(619) 621-1059
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
49325
CA
Other
Enumeration date
11/27/2011
Last updated
02/11/2012
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