Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSSANNIE LUCYNDA DA COSTA, M.S., CRC,PSYD (ABD)
Active Sole ProprietorSUSSANNIE LUCYNDA DA COSTA, M.S., CRC,PSYD (ABD) is a Rehabilitation Counselor healthcare provider located in SAINT MARIES, Idaho. NPI 1841776184 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation Counselor · SAINT MARIES, ID
Registration Details
- NPI Number
- 1841776184
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2018 (8.1044164798823 yrs)
- Last Updated
- Jul 18, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1525 MAIN AVESAINT MARIES, ID, 838611216Browse ID providers · Browse ZIP 83861
- Phone
- 2087171782
- Primary Specialty
-
Rehabilitation Counselor
225C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.