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General NPI Number Information
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NPI Number | 1831965102
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Entity Type | Individual
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Provider Name | CHRISTINA DESIREE ACOSTA LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 3920 E REDFIELD CT
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City | GILBERT
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State | AZ
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Zip | 85234-3223
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Country | US
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Telephone | 915-412-9121
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Fax |
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Provider Business Mailing Address
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Address Line | 6505 S PARIS ST
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City | CENTENNIAL
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State | CO
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Zip | 80111-6500
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CSW.09931756
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09931756
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License Number State | CO
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