Costa, David

Costa, David is an individual health care provider with primary practice located at 106 Spring St Ste 109, New Bedford MA 02740. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Costa, David can be contacted via phone (508) 678-0041.

Contact Information

Primary practice address
106 Spring St Ste 109 New Bedford MA 02740
Phone: (508) 678-0041
Fax: (508) 324-9002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 103 Massachusetts
Behavioral Health & Social Service Providers / Social Worker 104100000X 202045 Massachusetts
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 129 Massachusetts

Profile Details

NPI number 1013979392
LBN Legal business name Costa, David
Credentials LMHC LMFT LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013979392 NPPES
Massachusetts Other 103 LMHC LICENSE
Massachusetts Other 129 LMHC LICENSE
Massachusetts Other 202045 LMHC LICENSE

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