Individual
MRS. ALEXANDRA DECOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
154 MAIN ST STE 2, WOONSOCKET, RI 02895-4368
(508) 925-7375
Mailing address
42 GOLDSMITH AVE, EAST PROVIDENCE, RI 02914-2239
(401) 301-7680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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