Individual
DAIANA DACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
132 GREAT RD STE 200, STOW, MA 01775
(978) 263-0439
Mailing address
41 BOSTON RD UNIT 123, NORTH BILLERICA, MA 01862-1040
(954) 803-1906
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT1111
FL
Other
Enumeration date
05/28/2008
Last updated
05/22/2018
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