Sussannie Lucynda Da Costa, M.S., CRC,PSYD (ABD)
NPI #1841776184 in Saint Maries, Idaho
Provider Information
- NPI Number
- 1841776184
- Entity Type
- Individual
- Name
- Sussannie Lucynda Da Costa, M.S., CRC,PSYD (ABD)
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Rehabilitation Counselor
- Credential
- M.S., CRC,PSYD (ABD)
- Enumeration Date
- Jul 18, 2018
- Last Updated
- Jul 18, 2018
Practice Location
- Address
- 1525 MAIN AVE
- City
- Saint Maries
- State
- Idaho
- ZIP Code
- 83861-1216
- Phone
- (208) 717-1782
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Counselor |
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