Susan Costa, LPC

NPI #1023532744 in Wyomissing, Pennsylvania

Provider Information

NPI Number: 1023532744
Entity Type: Individual
Name: Susan Costa, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Aug 3, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 4 WELLINGTON BLVD
City: Wyomissing
State: Pennsylvania
ZIP Code: 19610-1850
Phone: (610) 678-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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