Shivonne Costa
NPI #1477303485 in Latrobe, Pennsylvania
Provider Information
- NPI Number
- 1477303485
- Entity Type
- Individual
- Name
- Shivonne Costa
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 25, 2024
- Last Updated
- Mar 25, 2024
Practice Location
- Address
- 1501 LIGONIER ST
- City
- Latrobe
- State
- Pennsylvania
- ZIP Code
- 15650-2912
- Phone
- (724) 804-7297
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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