| Kirsten Elise Costa, | |
|
318 E Main St, Grangeville, ID 83530-2238 | |
| (208) 500-2066 | |
| Not Available |
| Full Name | Kirsten Elise Costa |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 318 E Main St, Grangeville, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679439830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5871087 (Idaho) | Secondary |
| 101YM0800X | Counselor - Mental Health | 5871087 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kirsten Elise Costa, Po Box 312, Lucile, ID 83542-0312 Ph: (208) 500-2066 | Kirsten Elise Costa, 318 E Main St, Grangeville, ID 83530-2238 Ph: (208) 500-2066 |
Tammy L Everson, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 304 N State St, Grangeville, ID 83530 Phone: 208-983-0235 Fax: 208-983-0245 | |
Theresa Huston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 309 S College St Apt 4, Grangeville, ID 83530 Phone: 208-983-0235 | |
Miss Fallon Cole Horrocks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 N State St, Grangeville, ID 83530 Phone: 208-983-0235 | |
Rozalynne M Banta, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N College St, Grangeville, ID 83530 Phone: 208-983-0235 Fax: 208-983-0245 | |
Amee E Hardy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N College St, Grangeville, ID 83530 Phone: 208-983-0235 |