Individual
MRS. DONNA LYNN COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
202 PLAYHOUSE COR, SOUTHBURY, CT 06488-2265
(203) 518-5340
Mailing address
202 PLAYHOUSE COR, SOUTHBURY, CT 06488-2265
(203) 518-5340
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001266
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004123840
—
CT
05
—
008017939
—
CT
05
—
008031626
—
CT
Enumeration date
11/18/2005
Last updated
10/18/2023
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