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ANDREA ACOSTA

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1376839035

Individual Registrant:
 ANDREA  ACOSTA 
Gender: F
Sole Proprietor

Location and contact information for practice:
24275 JEFFERSON AVE  MURRIETA, CA 92562-7285 US
Tel: 951-677-5599  Fax: 951-200-6781

Contact information for business:
24275 JEFFERSON AVE  MURRIETA, CA 92562-7285 US
Tel: 951-677-5599  Fax: 951-200-6781

Registration Information:
NPI: 1376839035
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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