Individual
CHERYL O COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 93RD ST, KEENE, NH 03431-3989
(603) 283-1570
(603) 357-9648
Mailing address
64 MAIN ST, KEENE, NH 03431-3701
(603) 283-1570
(603) 357-9648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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